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Effects of Preoperative Oral Electrolyte‐Carbohydrate Nutrition Supplement on Postoperative Outcomes in Elderly Patients Receiving Total Knee Arthroplasty: A Prospective Randomized Controlled Trial

التفاصيل البيبلوغرافية
العنوان: Effects of Preoperative Oral Electrolyte‐Carbohydrate Nutrition Supplement on Postoperative Outcomes in Elderly Patients Receiving Total Knee Arthroplasty: A Prospective Randomized Controlled Trial
المؤلفون: Yue He, Xiumei Tang, Ning Ning, Jiali Chen, Peifang Li, Pengde Kang
المصدر: Orthopaedic Surgery, Vol 14, Iss 10, Pp 2535-2544 (2022)
بيانات النشر: Wiley, 2022.
سنة النشر: 2022
المجموعة: LCC:Orthopedic surgery
مصطلحات موضوعية: elderly, nutrition, patient comfort, total knee arthroplasty, Orthopedic surgery, RD701-811
الوصف: Objective Patients undergoing total knee arthroplasty (TKA) were primarily geriatric, with high risk of postoperative electrolyte disorders and malnutrition. Randomized controlled trials regarding oral nutrition supplement (ONS) strategies in TKA was sparse. This study aimed to evaluate the efficacy of preoperative oral electrolyte‐carbohydrate nutrition supplement (OECNS) on patients (aged >65 years) undergoing TKA. Methods From April 2019 to January 2020, 94 patients undergoing primary elective unilateral TKA in our hospital were considered in this prospective randomized controlled study. This study included patients aged over 65 years with ASA I‐III, and excluded patients with electrolyte disorders, malnutrition, and comorbidities. The control group (control group) received meal nutrition supplements (preoperative 6 h [Pre 6h]) and water (Pre 2h), while OECNS group (intervention group) received meal nutrition supplements (Pre 6h) and OECNS (Pre 2). The Student's t test and χ2 test was used. The primary outcomes were the patient‐reported comfort indicators (PRCIs) including hunger, thirst, nausea, vomiting, weakness, pain, anxiety, and general comfort. The secondary outcomes included indicators of electrolyte, nutrition, functional scores, clinical results, and complications. Results The scores of preoperative hunger (0.43 ± 0.10), pain (2.30 ± 0.34), and anxiety (9.04 ± 2.71) were significantly lower in OECNS group compared with control group (hunger, 1.19 ± 0.21; pain, 3.79 ± 0.26; anxiety, 11.21 ± 3.02) (Pre 1h) (all p
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1757-7861
1757-7853
Relation: https://doaj.org/toc/1757-7853; https://doaj.org/toc/1757-7861
DOI: 10.1111/os.13424
URL الوصول: https://doaj.org/article/5e9e51682d39462c8394951adf255d56
رقم الأكسشن: edsdoj.5e9e51682d39462c8394951adf255d56
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:17577861
17577853
DOI:10.1111/os.13424