A U.S. survey of pre-operative carbohydrate-containing beverage use in colorectal enhanced recovery after surgery (ERAS) programs
Abstract Background Carbohydrate-containing drinks (CCD) are administered preoperatively in most enhanced recovery after surgery (ERAS) programs. It is not known which types of CCDs are used, e.g., simple vs. complex carbohydrate, and if the choice of drink differs in patients with diabetes. Methods...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-05-01
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| Series: | Perioperative Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13741-021-00187-3 |
| _version_ | 1818647766696460288 |
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| author | Sunitha M. Singh Asha Liverpool Jamie L. Romeiser Joshua D. Miller Julie Thacker Tong J. Gan Elliott Bennett-Guerrero |
| author_facet | Sunitha M. Singh Asha Liverpool Jamie L. Romeiser Joshua D. Miller Julie Thacker Tong J. Gan Elliott Bennett-Guerrero |
| author_sort | Sunitha M. Singh |
| collection | DOAJ |
| description | Abstract Background Carbohydrate-containing drinks (CCD) are administered preoperatively in most enhanced recovery after surgery (ERAS) programs. It is not known which types of CCDs are used, e.g., simple vs. complex carbohydrate, and if the choice of drink differs in patients with diabetes. Methods A national survey was performed to characterize the use of preoperative CCDs within the context of adult colorectal ERAS programs. The survey had questions regarding the use of preoperative CCDs, the types of beverages used, and the timing of beverage administration. The survey was administered electronically to members of the American Society for Enhanced Recovery (ASER) and manually to participants at the 2018 Perioperative Quality and Enhanced Recovery Conference in San Francisco, CA. Results Responses were received from 78 unique hospitals with a colorectal ERAS program of which 68 (87.2%) reported administering a preoperative drink. Of these, 98.5%, 80.9%, and 60.3% of hospitals administered a beverage to patients without diabetes, patients with diabetes not taking insulin, and patients with diabetes taking insulin, respectively. Surprisingly, one third of programs that administered a beverage to patients with diabetes used a simple carbohydrate drink. Conclusions This survey finds a high use of CHO-containing beverages in colorectal ERAS programs. More than half of all programs administer a CHO-containing beverage to patients with diabetes, and surprisingly, there is significant use of simple carbohydrate beverages in patients with diabetes receiving insulin. |
| first_indexed | 2024-12-17T01:07:45Z |
| format | Article |
| id | doaj.art-25196129e7df4b51acda13036d7967b6 |
| institution | Directory Open Access Journal |
| issn | 2047-0525 |
| language | English |
| last_indexed | 2024-12-17T01:07:45Z |
| publishDate | 2021-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Perioperative Medicine |
| spelling | doaj.art-25196129e7df4b51acda13036d7967b62022-12-21T22:09:13ZengBMCPerioperative Medicine2047-05252021-05-011011510.1186/s13741-021-00187-3A U.S. survey of pre-operative carbohydrate-containing beverage use in colorectal enhanced recovery after surgery (ERAS) programsSunitha M. Singh0Asha Liverpool1Jamie L. Romeiser2Joshua D. Miller3Julie Thacker4Tong J. Gan5Elliott Bennett-Guerrero6Department of Anesthesiology, Stony Brook University Medical CenterDepartment of Anesthesiology, Stony Brook University Medical CenterDepartment of Anesthesiology, Stony Brook University Medical CenterDepartment of Medicine/Endocrinology, Stony Brook University Medical CenterDepartment of Surgery, Duke University Medical CenterDepartment of Anesthesiology, Stony Brook University Medical CenterDepartment of Anesthesiology, Stony Brook University Medical CenterAbstract Background Carbohydrate-containing drinks (CCD) are administered preoperatively in most enhanced recovery after surgery (ERAS) programs. It is not known which types of CCDs are used, e.g., simple vs. complex carbohydrate, and if the choice of drink differs in patients with diabetes. Methods A national survey was performed to characterize the use of preoperative CCDs within the context of adult colorectal ERAS programs. The survey had questions regarding the use of preoperative CCDs, the types of beverages used, and the timing of beverage administration. The survey was administered electronically to members of the American Society for Enhanced Recovery (ASER) and manually to participants at the 2018 Perioperative Quality and Enhanced Recovery Conference in San Francisco, CA. Results Responses were received from 78 unique hospitals with a colorectal ERAS program of which 68 (87.2%) reported administering a preoperative drink. Of these, 98.5%, 80.9%, and 60.3% of hospitals administered a beverage to patients without diabetes, patients with diabetes not taking insulin, and patients with diabetes taking insulin, respectively. Surprisingly, one third of programs that administered a beverage to patients with diabetes used a simple carbohydrate drink. Conclusions This survey finds a high use of CHO-containing beverages in colorectal ERAS programs. More than half of all programs administer a CHO-containing beverage to patients with diabetes, and surprisingly, there is significant use of simple carbohydrate beverages in patients with diabetes receiving insulin.https://doi.org/10.1186/s13741-021-00187-3Enhanced recoveryERASPre-operativeCarbohydrate-containing beverageInsulinDiabetes |
| spellingShingle | Sunitha M. Singh Asha Liverpool Jamie L. Romeiser Joshua D. Miller Julie Thacker Tong J. Gan Elliott Bennett-Guerrero A U.S. survey of pre-operative carbohydrate-containing beverage use in colorectal enhanced recovery after surgery (ERAS) programs Perioperative Medicine Enhanced recovery ERAS Pre-operative Carbohydrate-containing beverage Insulin Diabetes |
| title | A U.S. survey of pre-operative carbohydrate-containing beverage use in colorectal enhanced recovery after surgery (ERAS) programs |
| title_full | A U.S. survey of pre-operative carbohydrate-containing beverage use in colorectal enhanced recovery after surgery (ERAS) programs |
| title_fullStr | A U.S. survey of pre-operative carbohydrate-containing beverage use in colorectal enhanced recovery after surgery (ERAS) programs |
| title_full_unstemmed | A U.S. survey of pre-operative carbohydrate-containing beverage use in colorectal enhanced recovery after surgery (ERAS) programs |
| title_short | A U.S. survey of pre-operative carbohydrate-containing beverage use in colorectal enhanced recovery after surgery (ERAS) programs |
| title_sort | u s survey of pre operative carbohydrate containing beverage use in colorectal enhanced recovery after surgery eras programs |
| topic | Enhanced recovery ERAS Pre-operative Carbohydrate-containing beverage Insulin Diabetes |
| url | https://doi.org/10.1186/s13741-021-00187-3 |
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