Impact of enhanced recovery after surgery with preoperative whey protein-infused carbohydrate loading and postoperative early oral feeding among surgical gynecologic cancer patients: an open-labelled randomized controlled trial
Enhanced Recovery after Surgery (ERAS) with sole carbohydrate (CHO) loading and postoperative early oral feeding (POEOF) shortened the length of postoperative (PO) hospital stays (LPOHS) without increasing complications. This study aimed to examine the impact of ERAS with preoperative whey protein-i...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI
2020
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| Online Access: | http://psasir.upm.edu.my/id/eprint/38176/1/38176.pdf |
| _version_ | 1825949174924836864 |
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| author | Ho, Chiou Yi Ibrahim, Zuriati Abu Zaid, Zalina Mat Daud, Zulfitri 'Azuan Md. Yusop, Nor Baizura Omar, Jamil Mohd Abas, Mohd Norazam Abdul Rahman, Zuwariah Jamhuri, Norshariza |
| author_facet | Ho, Chiou Yi Ibrahim, Zuriati Abu Zaid, Zalina Mat Daud, Zulfitri 'Azuan Md. Yusop, Nor Baizura Omar, Jamil Mohd Abas, Mohd Norazam Abdul Rahman, Zuwariah Jamhuri, Norshariza |
| author_sort | Ho, Chiou Yi |
| collection | UPM |
| description | Enhanced Recovery after Surgery (ERAS) with sole carbohydrate (CHO) loading and postoperative early oral feeding (POEOF) shortened the length of postoperative (PO) hospital stays (LPOHS) without increasing complications. This study aimed to examine the impact of ERAS with preoperative whey protein-infused CHO loading and POEOF among surgical gynecologic cancer (GC) patients. There were 62 subjects in the intervention group (CHO-P), which received preoperative whey protein-infused CHO loading and POEOF; and 56 subjects formed the control group (CO), which was given usual care. The mean age was 49.5 ± 12.2 years (CHO-P) and 51.2 ± 11.9 years (CO). The trial found significant positive results which included shorter LPOHS (78.13 ± 33.05 vs. 99.49 ± 22.54 h); a lower readmission rate within one month PO (6% vs. 16%); lower weight loss (−0.3 ± 2.3 kg vs. −2.1 ± 2.3 kg); a lower C-reactive protein–albumin ratio (0.3 ± 1.2 vs. 1.1 ± 2.6); preserved muscle mass (0.4 ± 1.7 kg vs. −0.7 ± 2.6 kg); and better handgrip strength (0.6 ± 4.3 kg vs. −1.9 ± 4.7 kg) among CHO-P as compared with CO. However, there was no significant difference in mid-upper arm circumference and serum albumin level upon discharge. ERAS with preoperative whey protein-infused CHO loading and POEOF assured better PO outcomes. |
| first_indexed | 2024-03-06T08:40:31Z |
| format | Article |
| id | upm.eprints-38176 |
| institution | Universiti Putra Malaysia |
| language | English |
| last_indexed | 2024-03-06T08:40:31Z |
| publishDate | 2020 |
| publisher | MDPI |
| record_format | dspace |
| spelling | upm.eprints-381762020-05-03T23:03:16Z http://psasir.upm.edu.my/id/eprint/38176/ Impact of enhanced recovery after surgery with preoperative whey protein-infused carbohydrate loading and postoperative early oral feeding among surgical gynecologic cancer patients: an open-labelled randomized controlled trial Ho, Chiou Yi Ibrahim, Zuriati Abu Zaid, Zalina Mat Daud, Zulfitri 'Azuan Md. Yusop, Nor Baizura Omar, Jamil Mohd Abas, Mohd Norazam Abdul Rahman, Zuwariah Jamhuri, Norshariza Enhanced Recovery after Surgery (ERAS) with sole carbohydrate (CHO) loading and postoperative early oral feeding (POEOF) shortened the length of postoperative (PO) hospital stays (LPOHS) without increasing complications. This study aimed to examine the impact of ERAS with preoperative whey protein-infused CHO loading and POEOF among surgical gynecologic cancer (GC) patients. There were 62 subjects in the intervention group (CHO-P), which received preoperative whey protein-infused CHO loading and POEOF; and 56 subjects formed the control group (CO), which was given usual care. The mean age was 49.5 ± 12.2 years (CHO-P) and 51.2 ± 11.9 years (CO). The trial found significant positive results which included shorter LPOHS (78.13 ± 33.05 vs. 99.49 ± 22.54 h); a lower readmission rate within one month PO (6% vs. 16%); lower weight loss (−0.3 ± 2.3 kg vs. −2.1 ± 2.3 kg); a lower C-reactive protein–albumin ratio (0.3 ± 1.2 vs. 1.1 ± 2.6); preserved muscle mass (0.4 ± 1.7 kg vs. −0.7 ± 2.6 kg); and better handgrip strength (0.6 ± 4.3 kg vs. −1.9 ± 4.7 kg) among CHO-P as compared with CO. However, there was no significant difference in mid-upper arm circumference and serum albumin level upon discharge. ERAS with preoperative whey protein-infused CHO loading and POEOF assured better PO outcomes. MDPI 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/38176/1/38176.pdf Ho, Chiou Yi and Ibrahim, Zuriati and Abu Zaid, Zalina and Mat Daud, Zulfitri 'Azuan and Md. Yusop, Nor Baizura and Omar, Jamil and Mohd Abas, Mohd Norazam and Abdul Rahman, Zuwariah and Jamhuri, Norshariza (2020) Impact of enhanced recovery after surgery with preoperative whey protein-infused carbohydrate loading and postoperative early oral feeding among surgical gynecologic cancer patients: an open-labelled randomized controlled trial. Nutrients, 12 (1). art. no. 264. pp. 1-14. ISSN 2072-6643 https://www.mdpi.com/2072-6643/12/1/264 10.3390/nu12010264 |
| spellingShingle | Ho, Chiou Yi Ibrahim, Zuriati Abu Zaid, Zalina Mat Daud, Zulfitri 'Azuan Md. Yusop, Nor Baizura Omar, Jamil Mohd Abas, Mohd Norazam Abdul Rahman, Zuwariah Jamhuri, Norshariza Impact of enhanced recovery after surgery with preoperative whey protein-infused carbohydrate loading and postoperative early oral feeding among surgical gynecologic cancer patients: an open-labelled randomized controlled trial |
| title | Impact of enhanced recovery after surgery with preoperative whey protein-infused carbohydrate loading and postoperative early oral feeding among surgical gynecologic cancer patients: an open-labelled randomized controlled trial |
| title_full | Impact of enhanced recovery after surgery with preoperative whey protein-infused carbohydrate loading and postoperative early oral feeding among surgical gynecologic cancer patients: an open-labelled randomized controlled trial |
| title_fullStr | Impact of enhanced recovery after surgery with preoperative whey protein-infused carbohydrate loading and postoperative early oral feeding among surgical gynecologic cancer patients: an open-labelled randomized controlled trial |
| title_full_unstemmed | Impact of enhanced recovery after surgery with preoperative whey protein-infused carbohydrate loading and postoperative early oral feeding among surgical gynecologic cancer patients: an open-labelled randomized controlled trial |
| title_short | Impact of enhanced recovery after surgery with preoperative whey protein-infused carbohydrate loading and postoperative early oral feeding among surgical gynecologic cancer patients: an open-labelled randomized controlled trial |
| title_sort | impact of enhanced recovery after surgery with preoperative whey protein infused carbohydrate loading and postoperative early oral feeding among surgical gynecologic cancer patients an open labelled randomized controlled trial |
| url | http://psasir.upm.edu.my/id/eprint/38176/1/38176.pdf |
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