Is perioperative fasting associated with complications, length of hospital stay and mortality among gastric and colorectal cancer patients? A cohort study

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dc.contributor.authorFayh, Ana Paula Trussardi
dc.contributor.authorVirgens, Isabel Pinto Amorim das
dc.contributor.authorCarvalho, Ana Lúcia Miranda de
dc.contributor.authorNagashima, Yasmim Guerreiro
dc.contributor.authorSilva, Flavia Moraes
dc.date.accessioned2023-11-30T19:51:04Z
dc.date.available2023-11-30T19:51:04Z
dc.date.issued2020
dc.description.resumoBACKGROUND: 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 LOSpt_BR
dc.identifier.citationVIRGENS, Isabel Pinto Amorim das; CARVALHO, Ana Lúcia Miranda de; NAGASHIMA, Yasmim Guerreiro; SILVA, Flavia Moraes; FAYH, Ana Paula Trussardi . Is perioperative fasting associated with complications, length of hospital stay and mortality among gastric and colorectal cancer patients? A cohort study. São Paulo Medical Journal, p. 407-413, 2020. DOI 10.1590/1516-3180.2020.0084.r1.30062020. Disponível em: https://www.scielo.br/j/spmj/a/PQZH5xFL4GxHpmpcbrdkF6L/?lang=en#. Acesso em: 16 nov. 2023.pt_BR
dc.identifier.doihttp://dx.doi.org/10.1590/1516-3180.2020.0084.r1.30062020
dc.identifier.urihttps://repositorio.ufrn.br/handle/123456789/55523
dc.languageenpt_BR
dc.publisherSão Paulo Medical Journalpt_BR
dc.rightsAttribution 3.0 Brazil*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/br/*
dc.subjectFastingpt_BR
dc.subjectperioperative carept_BR
dc.subjectmedical oncologypt_BR
dc.subjectenteral nutritionpt_BR
dc.subjectlength of staypt_BR
dc.subjectnutritionpt_BR
dc.subjectgastrointestinal cancerpt_BR
dc.subjectsurgerypt_BR
dc.subjectearly enteral feedingpt_BR
dc.subjectperioperative fastingpt_BR
dc.titleIs perioperative fasting associated with complications, length of hospital stay and mortality among gastric and colorectal cancer patients? A cohort studypt_BR
dc.typearticlept_BR

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