Implementation of a food service after surgery at the post anaesthesia care unit
| ISRCTN | ISRCTN17976930 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN17976930 |
| Secondary identifying numbers | W15_164 # 15.0198 |
- Submission date
- 14/12/2021
- Registration date
- 17/12/2021
- Last edited
- 03/10/2022
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Other
Plain English summary of protocol
Background and study aims
An essential element of postoperative care is postoperative nutrition. Although the benefit of adequate postoperative nutrition is proven, historical concerns persist regarding postoperative complications. These concerns result in postoperative restriction of nutritional intake, thereby increasing perioperative fasting times and influencing recovery. Postoperative intake of nutrition may be started, in most patients, as soon as the patient is awake and alert.
The aim of our study was to introduce a postoperative food service to reduce postoperative fasting time at the Postoperative Anaesthesia Care Unit (PACU), with attention for nutritional tolerance.
Who can participate?
All postoperative patients older than 18 with a planned overnight stay at the PACU and without a nutritional intake restriction postoperative, could participate in this study.
What does the study involve?
We included patients before and after the implementation of a food service at the PACU. Patients were asked to fill in a survey in the evening after surgery (at approximately 8 p.m.), and a second one in the morning of the first postoperative day (at approximately 8 a.m.). The survey consisted questions about the first nutritional intake after surgery (time point), about nutritional tolerance (nausea, vomiting, flatus), and patient’s well-being (thirst, hunger, satisfaction).
What are the possible benefits and risks of participating?
The benefit for the patients is the possibility of direct intake after surgery which might have a positive effect in postoperative recovery. A potential risk is that the nutritional intake can lead to nausea and vomiting.
Where is the study run from?
Amsterdam UMC, location AMC in Amsterdam, the Netherlands at the PACU of the Anaesthesiology department
When is the study starting and how long is it expected to run for?
May 2015 to February 2017
Who is funding the study?
Investigator initiated and funded
Who is the main contact?
Dr Mireille van Stijn, m.f.vanstijn@amsterdamumc.nl
Contact information
Scientific
Meibergdreef 9
Amsterdam
1105 AZ
Netherlands
 ORCID ID |
0000-0002-4853-0284 |
|---|---|
| Phone | +31 205669111 |
| m.f.vanstijn@amsterdamumc.nl |
Study information
| Study design | Interventional prospective single-centre before-after study |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Non randomised study |
| Study setting(s) | Hospital |
| Study type | Other |
| Participant information sheet | No participant information sheet available |
| Scientific title | Postoperative nutrition tolerance and nutritional optimization at the post anaesthesia care unit. |
| Study acronym | NUTRIPACU |
| Study objectives | By introducing a postoperative food service at the Post Anaesthesia Care Unit (PACU) the postoperative fasting time of patients reduces. |
| Ethics approval(s) | Approved 17/06/2015, Medical Ethics Review Committee of the Academic Medical Center (G4-214, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands; +31 20 5667389; mecamc@amsterdamumc.nl), ref: W15_164 # 15.0198 |
| Health condition(s) or problem(s) studied | Postoperative care at the PACU |
| Intervention | A food service was developed at the PACU, allowing the reintroduction of nutrition directly after surgery. The implementation of the food service contained; training of the staff, introducing a new postoperative feeding protocol, and optimization of logistics. A survey was developed containing two sections. The first section consisted of questions regarding the first nutritional intake moment (time point), and the occurrence of postoperative nausea, vomiting, and flatus. The second section consisted of questions regarding thirst, hunger, nausea and overall patient satisfaction, scored through 5-point Likert-scales (0=non/ low till 4=high/ satisfactory). Each included patient was asked to fill in the survey twice, with nursing staff providing assistance if needed. The first survey was taken in the evening after surgery (at approximately 8 p.m.), and the second in the morning of the first postoperative day (at approximately 8 a.m.). Patients’ characteristics, and intra-operative data that are related to postoperative nutrition, were collected from the electronic patient record system. Identical surveys and data were taken and collected before the implementation of the food service, in a control group (before), and after implementation in an intervention group (after). |
| Intervention type | Other |
| Primary outcome measure | Postoperative fasting time defined as the time of arrival at the PACU and the first time of postoperative intake or leaving to the surgical ward measured using the patient survey taken in the evening after surgery (at approximately 8 p.m.), and in the morning of the first postoperative day (at approximately 8 a.m.). |
| Secondary outcome measures | 1. Nutrition tolerance measured by incidence of vomiting, the nausea score, and the amount of postoperatively administered anti-emetics measured using patient records at a single time point 2. Nutritional optimization measured using nutritional intake on the day of surgery (day 0) at 8 p.m., and on the first postoperative day (day 1) at 8 a.m. 3. Patient outcomes: satisfaction, hunger, thirst, and flatus were surveyed on the day of surgery (day 0) at 8 p.m., and on the first postoperative day (day 1) at 8 a.m. |
| Overall study start date | 01/05/2015 |
| Completion date | 03/02/2017 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Sex | Both |
| Target number of participants | 220 |
| Total final enrolment | 235 |
| Key inclusion criteria | All adult patients with a planned overnight stay at the PACU, without anticipated postoperative dietary restrictions |
| Key exclusion criteria | 1. Children 2. Alternative nutritional intake route 3. Not able to communicate in Dutch or English 4. Not willing to participate |
| Date of first enrolment | 01/07/2015 |
| Date of final enrolment | 02/02/2017 |
Locations
Countries of recruitment
- Netherlands
Study participating centre
Amsterdam
1105 AZ
Netherlands
Sponsor information
Hospital/treatment centre
Meibergdreef 9
Amsterdam
1105 AZ
Netherlands
| Phone | +31 205669111 |
|---|---|
| b.preckel@amsterdamumc.nl | |
| Website | http://www.vumc.nl/ |
"ROR" |
https://ror.org/00q6h8f30 |
Funders
Funder type
Other
No information available
Results and Publications
| Intention to publish date | 31/12/2021 |
|---|---|
| Individual participant data (IPD) Intention to share | Yes |
| IPD sharing plan summary | Available on request |
| Publication and dissemination plan | Planned publication in a peer-reviewed journal as soon as possible. |
| IPD sharing plan | The datasets generated during and/or analysed during the current study are/will be available upon reasonable request from MFM van Stijn, MD PhD (m.f.vanstijn@amsterdamumc.nl). The individual participant data that underlie the results reported in the article publication will be shared. No other document will be available. The data will be available immediately following article publication. There is no end date for sharing. The data will be made available to investigators whose proposed use of the data has been approved by an independent review committee identified for this purpose. The data will be available to achieve aims in the approved proposal. |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | 01/10/2022 | 03/10/2022 | Yes | No |
Editorial Notes
03/10/2022: Publication reference added.
20/12/2021: Internal review.
17/12/2021: Trial's existence confirmed by AMC Amsterdam
