Comparison of Stay in a Hospital in Early Versus Late Enteral Feeding
Abstract
objective of this study is to compare the length of stay in a hospital in early vs late enteral feeding.
This randomized control clinical trial was done at South Surgical Ward, Mayo Hospital Lahore Pakistan. The study was completed in Six months following the approval of the synopsis. Sample of 116 patients (58 in each group) was determined. The patients were allocated in two different groups; group A and a group B, by lottery. In the study group (A); the patients were kept nil by mouth for the first six hours following procedure. Six hours post-operative patient was allowed sips of clear fluids and was removed the nasogastric tube; the amount of fluid intake was increased as per tolerance of the patient. The diet was changed from fluids to soft diet and then to normal diet from 2nd post-operative day. A chart was maintained of any vomiting, Abdominal pain tenderness or swelling during feeding. In the control group (B); the patients were kept on maintenance fluids given intravenous post- operatively. Length of hospital stay was recorded. Data was entered in SPSS- 20. Quantitative variables like age were presented as mean +S.D.
The mean age of cases was 27.51 ± 9.67 years while the mean of ages in group-A and Group-B was 26.91 ± 8.67 years and 28.10 ± 10.62 years respectively with no statistical difference, p-value = 0.510(> 0.05). In this study there were 71(61.2%) and 45(38.8%). In group-A there were 41(70.69%) males and 17(29.31%) females while in the group-B there were 38(65.52%) males and 20(34.48%) females. The mean hospital stay in groups A and B was 4.98 ± 1.40 and 3.97 ± 0.84 days respectively, the mean hospital stay in group-B was significantly less than that of the group-A , p-value < 0.0001.
This study established the role of early feeding in minimizing hospital stay, so in future we can use early feeding in these cases.
How to Cite This Article
Jawad M, Mustafa H, Afzal MI, Umair HM, Sandhu MF, Hassan M. Comparison of Stay in a Hospital in Early Versus Late Enteral Feeding. J Pak Soc Intern Med. 2022;3(2):135–139. doi:10.70302/jpsim.v3i2.2226
Conflict of Interest
All authors declare no competing interests.
Funding
No specific funding was received for this research.
Funder information follows the Crossref Funder Registry standard.
References
- Melnyk M, Casey RG, Black P, Koupparis AJ. Enhanced recovery after surgery (ERAS) protocols: Time to change practice? Can Urol Assoc J. 2011;5(5):342-8.
- Aziz A, Sheikh I, Jawaid M, Alam SN, Saleem M. Indications and complications of loop ileostomy. J Surg Pak (Int). 2009;14(2):128-31.
- Lewis SJ, Egger M, Sylvester PA, Thomas S. Early enteral feeding versus “nil by mouth” after gastrointestinal surgery: systematic review and meta-analysis of controlled trials. BMJ 2001;323(7316):773.
- Nanavati AJ, Prabhakar S. A comparative study of ‘fast-track’versus traditional peri-operative care protocols in gastrointestinal surgeries. J Gastrointest Surg. 2014;18(4):757-67.
- Christopher P. Duggan, Tom Jaksic, Kathleen M. Gura- Clinical Management of Intestinal Failure-Chakrabarty I, Burns DL. Pathophysiology of Intestinal Failure 1st Edition. New York. CRC Press, 2012; p.13-30.
- Thapa P, Nagarkoti K, Lama T, Maharjan D, Tuladhar M. Early enteral feeding in intestinal anastomosis. J Nepal Health Res Counc. 2011;9(1):1-5.
- Dag A, Colak T, Turkmenoglu O, Gundogdu R, Aydin S. A randomized controlled trial evaluating early versus traditional oral feeding after colorectal surgery. Clinics. 2011;66(12):2001-5.
- Bauer JJ, Gelernt IM, Salky BA, Kreel I. Is routine postoperative nasogastric decompression really necessary? Am Surg. 1985;201(2):233.
- Marik PE, Zaloga GP. Early enteral nutrition in acutely ill patients: a systematic review. Crit Care Med. 2001;29(12):2264-70.
- Dervenis C, Avgerinos C, Lytras D, Delis S. Benefits and limitations of enteral nutrition in the early postoperative period. Langenbecks Arch Surg. 2003;387(11-12):441-9.
- Nelson R, Edwards S, Tse B. Prophylactic nasogastric decompression after abdominal surgery. Cochrane Database Syst Rev. 2004; doi: 10.1002/14651858.CD004929.pub3. doi:10.1002/14651858.CD004929.pub3
- Ahmad M, Qayyum A, Akhtar M, Shah R, Afridi S, ALam S, et al. Safety of early versus delayed enteral feeding following ileostomy closure: randomized controlled trial. Khyber Med Uni J. 2013;5(4):195-8.
- Osland E, Yunus RM, Khan S, Memon MA. Early versus traditional postoperative feeding in patients undergoing resectional gastrointestinal surgery: a meta-analysis. J Parenter Enteral Nutr. 2011;35(4):473-87.
- Mahla V, Khan S, Ahmad R, Jenaw RK. Early feeding after loop ileostomy reversal: A prospective study. FJS. 2016;49(5):178-82.
- Baraza W, Wild J, Barber W, Brown S. Postoperative management after loop ileostomy closure: are we keeping patients in hospital too long? Ann R Coll Surg Engl. 2010;92(1):51-5.
- Hosseini SN, Mousavinasab SN, Rahmanpour H, Sotodeh S. Comparing early oral feeding with traditional oral feeding in upper gastrointestinal surgery. Turk J Gastroenterol. 2010;21(2):119-24.
- Lewis SJ, Andersen HK, Thomas S. Early enteral nutrition within 24 h of intestinal surgery versus later commencement of feeding: a systematic review and meta-analysis. J Gastrointest Surg. 2009;13(3):569.
Reference list indexed for Google Scholar and ResearchGate. DOI links resolve via doi.org.