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Is perioperative fasting associated with complications, length of hospital stay and mortality among gastric and colorectal cancer patients? A cohort study
Virgens, Isabel Pinto Amorim das; Surgical Oncology DepartmentCarvalho, Ana Lúcia Miranda de; Surgical Oncology DepartmentNagashima, Yasmim Guerreiro; Silva, Flavia Moraes; Fayh, Ana Paula Trussardi.
  • Virgens, Isabel Pinto Amorim das; Universidade Federal do Rio Grande do Norte. Postgraduate Program on Health Sciences. Natal. BR
  • Surgical Oncology DepartmentCarvalho, Ana Lúcia Miranda de; Liga Norteriograndense Contra o Câncer. Luiz Antônio Hospital. Surgical Oncology DepartmentCarvalho, Ana Lúcia Miranda de. Natal. BR
  • Surgical Oncology DepartmentNagashima, Yasmim Guerreiro; Liga Norteriograndense Contra o Câncer. Luiz Antônio Hospital. Surgical Oncology DepartmentNagashima, Yasmim Guerreiro. Natal. BR
  • Silva, Flavia Moraes; Universidade Federal de Ciências da Saúde de Porto Alegre. Department of Nutrition. Porto Alegre. BR
  • Fayh, Ana Paula Trussardi; Universidade Federal do Rio Grande do Norte. Department of Nutrition. Natal. BR
São Paulo med. j ; 138(5): 407-413, Sept.-Oct. 2020. tab
Article in English | LILACS, SES-SP | ID: biblio-1139720
ABSTRACT
ABSTRACT

BACKGROUND:

During a surgical procedure, patients are often subjected to fasting for times that are more prolonged than the ideal, which may lead to complications.

OBJECTIVE:

To evaluate the duration of perioperative fasting and its association with postoperative complications, length of hospital stay (LOS) and mortality among gastric and colorectal cancer patients. DESIGN AND

SETTING:

Cohort study developed in a surgical oncology hospital in the city of Natal (Rio Grande do Norte, Brazil).

METHODS:

Patients aged over 18 years were included. The Clavien-Dindo surgical complication scale was used to evaluate occurrences of postoperative complications. LOS was defined as the number of days for which patients stayed in the hospital after surgery, or until the day of death.

RESULTS:

Seventy-seven patients participated (59.8 ± 11.8 years; 54.5% females; 70.1% with bowel tumor). The incidences of postoperative complications and death were 59.7% and 3.9%, respectively. The duration of perioperative fasting was 59.0 ± 21.4 hours, and it was higher among non-survivors and among patients with prolonged hospital stay (≥ 6 days). For each one-hour increase in the durations of perioperative and postoperative fasting, the odds of prolonged hospitalization increased by 12% (odds ratio, OR = 1.12; 95% confidence interval, CI 1.04-1.20) and 5% (OR = 1.05; 95% CI 1.02-1.08), respectively.

CONCLUSION:

Prolonged perioperative fasting, especially in the postoperative period, was observed in a sample of patients with gastric and colorectal cancer, and this was an independent predictor of LOS.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Postoperative Complications / Colorectal Neoplasms / Fasting / Perioperative Period / Length of Stay Type of study: Etiology study / Incidence study / Observational study / Prognostic study / Risk factors Limits: Adult / Aged / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: São Paulo med. j Year: 2020 Type: Article Institution/Affiliation country: Liga Norteriograndense Contra o Câncer/BR / Universidade Federal de Ciências da Saúde de Porto Alegre/BR / Universidade Federal do Rio Grande do Norte/BR

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Full text: Available Index: LILACS (Americas) Main subject: Postoperative Complications / Colorectal Neoplasms / Fasting / Perioperative Period / Length of Stay Type of study: Etiology study / Incidence study / Observational study / Prognostic study / Risk factors Limits: Adult / Aged / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: São Paulo med. j Year: 2020 Type: Article Institution/Affiliation country: Liga Norteriograndense Contra o Câncer/BR / Universidade Federal de Ciências da Saúde de Porto Alegre/BR / Universidade Federal do Rio Grande do Norte/BR