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Postoperative fasting is associated with longer ICU stay in oncologic patients undergoing elective surgery.
Fachini, Caroline; Alan, Claudio Z; Viana, Luciana V.
Afiliação
  • Fachini C; Critical Care Unit, Hospital Casa de Misericórdia, Rua Prof. Annes Dias, Porto Alegre, RS, 295, Brazil.
  • Alan CZ; Critical Care Unit, Hospital Mãe de Deus, Rua José de Alencar, Porto Alegre, RS, 286, Brazil.
  • Viana LV; Endocrine Division and Medical Nutrition Division Hospital das Clínicas de Porto Alegre. Postgraduate Program: Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil. lviana@hcpa.edu.br.
Perioper Med (Lond) ; 11(1): 29, 2022 Aug 02.
Article em En | MEDLINE | ID: mdl-35915513
BACKGROUND: Cancer patients present nutritional and complications risks during the postoperative period. Fasting contributes to surgical catabolic damage. This study evaluates the consequence of fasting time on the surgical outcomes of cancer patients undergoing elective surgeries. METHODS: Prospective cohort, evaluating two categories of patients according to postoperative fasting: less than or greater than 24 h. OUTCOMES: Hospitalization time, 28-day mortality, ICU stay and infection rates. DISCUSSION: We included 109 patients (57% men, 60 ± 15 years, BMI: 26 ± 5 kg/m2, SAPS3 43 ± 12), hepatectomy was the most frequent surgery (13.8%), and colon and rectum were the most common neoplasia (18.3%). The ICU stay was longer in postoperative fasting > 24 h (5.5 [4-8.25] vs. 3 [2-5] days, p < 0.001). Fasting > 24 h persisted as a risk factor for longer length of stay (LOS) in the ICU after adjustments. There were no differences in the mortality analysis within 28 days and total hospitalization time between groups. A tendency to experience more infections was observed in patients who fasted > 24 h (34.8% vs. 16.3%, p = 0.057). Onset of diet after the first 24 h postoperatively was a risk factor for longer ICU stay in cancer patients who underwent major surgeries.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Risk_factors_studies Idioma: En Revista: Perioper Med (Lond) Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Risk_factors_studies Idioma: En Revista: Perioper Med (Lond) Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido