Influence of inpatient dietary restriction on acute uncomplicated diverticulitis: A pilot observational study

Megan Crichton, Camilla Dahl, Julie Jenkins-Chapman, Romina Nucera, Yvonne Chen, Kayla Russell, Skye Marshall

Research output: Contribution to conferenceAbstractResearch

8 Downloads (Pure)

Abstract

Background: Despite the high prevalence of acute, uncomplicated diverticulitis there has been little original research regarding its dietary management upon presentation to acute care. Due to the lack of evidence and conflicting clinical guidelines, practice varies widely between physicians, but frequently involves a combination of bowel rest and liquid diets hypothesised to decrease patient symptoms and promote recovery. However, these dietary restrictions are not well evidenced and may increase patient burden and length of stay. Therefore, a prospective observational cohort study was undertaken to investigate the effect of inpatient dietary restriction on length of stay and 30-day diverticulitis reoccurrence in adults with acute, uncomplicated diverticulitis. Methods: Participants were recruited from patients admitted to Robina Hospital during the 14-week period from January to April 2017. Outcomes were compared for physician-prescribed liberalised (no dietary restrictions; n=11) versus restricted (bowel rest/nil by mouth or no solid foods allowed; n=16) inpatient diets. Results: Stepwise multiple linear regression found a liberalised diet decreased length of hospital stay by 1.1 days (P=0.035), after accounting for smoking status and gastrointestinal symptoms (GSRS score) at baseline. There were no statistically significant differences in reoccurrence, visits to general practitioner or gastrointestinal symptoms between groups at 30-days post discharge (P>0.05). Discussion: In acute, uncomplicated diverticulitis, a liberalised diet may be favourable to practitioners and patients compared to a restricted diet as it was associated with decreased length of stay. A randomised controlled trial is needed to strengthen confidence in the findings.
Original languageEnglish
Pages37-38
Number of pages2
Publication statusPublished - Nov 2017
EventThe First Gold Coast Health Research Week Conference 2017 - Gold Coast University Hospital, Gold Coast, Australia
Duration: 28 Nov 201730 Nov 2017
https://www.goldcoast.health.qld.gov.au/research/research-week

Conference

ConferenceThe First Gold Coast Health Research Week Conference 2017
CountryAustralia
CityGold Coast
Period28/11/1730/11/17
Internet address

Fingerprint

Diverticulitis
Observational Studies
Inpatients
Diet
Length of Stay
Practice Guidelines
General Practitioners
Mouth
Linear Models
Smoking
Physicians
Food

Cite this

Crichton, M., Dahl, C., Jenkins-Chapman, J., Nucera, R., Chen, Y., Russell, K., & Marshall, S. (2017). Influence of inpatient dietary restriction on acute uncomplicated diverticulitis: A pilot observational study. 37-38. Abstract from The First Gold Coast Health Research Week Conference 2017, Gold Coast, Australia.
Crichton, Megan ; Dahl, Camilla ; Jenkins-Chapman, Julie ; Nucera, Romina ; Chen, Yvonne ; Russell, Kayla ; Marshall, Skye. / Influence of inpatient dietary restriction on acute uncomplicated diverticulitis: A pilot observational study. Abstract from The First Gold Coast Health Research Week Conference 2017, Gold Coast, Australia.2 p.
@conference{d5a65c8c8d9a4cfda24367516f30c5bf,
title = "Influence of inpatient dietary restriction on acute uncomplicated diverticulitis: A pilot observational study",
abstract = "Background: Despite the high prevalence of acute, uncomplicated diverticulitis there has been little original research regarding its dietary management upon presentation to acute care. Due to the lack of evidence and conflicting clinical guidelines, practice varies widely between physicians, but frequently involves a combination of bowel rest and liquid diets hypothesised to decrease patient symptoms and promote recovery. However, these dietary restrictions are not well evidenced and may increase patient burden and length of stay. Therefore, a prospective observational cohort study was undertaken to investigate the effect of inpatient dietary restriction on length of stay and 30-day diverticulitis reoccurrence in adults with acute, uncomplicated diverticulitis. Methods: Participants were recruited from patients admitted to Robina Hospital during the 14-week period from January to April 2017. Outcomes were compared for physician-prescribed liberalised (no dietary restrictions; n=11) versus restricted (bowel rest/nil by mouth or no solid foods allowed; n=16) inpatient diets. Results: Stepwise multiple linear regression found a liberalised diet decreased length of hospital stay by 1.1 days (P=0.035), after accounting for smoking status and gastrointestinal symptoms (GSRS score) at baseline. There were no statistically significant differences in reoccurrence, visits to general practitioner or gastrointestinal symptoms between groups at 30-days post discharge (P>0.05). Discussion: In acute, uncomplicated diverticulitis, a liberalised diet may be favourable to practitioners and patients compared to a restricted diet as it was associated with decreased length of stay. A randomised controlled trial is needed to strengthen confidence in the findings.",
author = "Megan Crichton and Camilla Dahl and Julie Jenkins-Chapman and Romina Nucera and Yvonne Chen and Kayla Russell and Skye Marshall",
year = "2017",
month = "11",
language = "English",
pages = "37--38",
note = "The First Gold Coast Health Research Week Conference 2017 ; Conference date: 28-11-2017 Through 30-11-2017",
url = "https://www.goldcoast.health.qld.gov.au/research/research-week",

}

Crichton, M, Dahl, C, Jenkins-Chapman, J, Nucera, R, Chen, Y, Russell, K & Marshall, S 2017, 'Influence of inpatient dietary restriction on acute uncomplicated diverticulitis: A pilot observational study' The First Gold Coast Health Research Week Conference 2017, Gold Coast, Australia, 28/11/17 - 30/11/17, pp. 37-38.

Influence of inpatient dietary restriction on acute uncomplicated diverticulitis: A pilot observational study. / Crichton, Megan; Dahl, Camilla ; Jenkins-Chapman, Julie; Nucera, Romina; Chen, Yvonne; Russell, Kayla; Marshall, Skye.

2017. 37-38 Abstract from The First Gold Coast Health Research Week Conference 2017, Gold Coast, Australia.

Research output: Contribution to conferenceAbstractResearch

TY - CONF

T1 - Influence of inpatient dietary restriction on acute uncomplicated diverticulitis: A pilot observational study

AU - Crichton, Megan

AU - Dahl, Camilla

AU - Jenkins-Chapman, Julie

AU - Nucera, Romina

AU - Chen, Yvonne

AU - Russell, Kayla

AU - Marshall, Skye

PY - 2017/11

Y1 - 2017/11

N2 - Background: Despite the high prevalence of acute, uncomplicated diverticulitis there has been little original research regarding its dietary management upon presentation to acute care. Due to the lack of evidence and conflicting clinical guidelines, practice varies widely between physicians, but frequently involves a combination of bowel rest and liquid diets hypothesised to decrease patient symptoms and promote recovery. However, these dietary restrictions are not well evidenced and may increase patient burden and length of stay. Therefore, a prospective observational cohort study was undertaken to investigate the effect of inpatient dietary restriction on length of stay and 30-day diverticulitis reoccurrence in adults with acute, uncomplicated diverticulitis. Methods: Participants were recruited from patients admitted to Robina Hospital during the 14-week period from January to April 2017. Outcomes were compared for physician-prescribed liberalised (no dietary restrictions; n=11) versus restricted (bowel rest/nil by mouth or no solid foods allowed; n=16) inpatient diets. Results: Stepwise multiple linear regression found a liberalised diet decreased length of hospital stay by 1.1 days (P=0.035), after accounting for smoking status and gastrointestinal symptoms (GSRS score) at baseline. There were no statistically significant differences in reoccurrence, visits to general practitioner or gastrointestinal symptoms between groups at 30-days post discharge (P>0.05). Discussion: In acute, uncomplicated diverticulitis, a liberalised diet may be favourable to practitioners and patients compared to a restricted diet as it was associated with decreased length of stay. A randomised controlled trial is needed to strengthen confidence in the findings.

AB - Background: Despite the high prevalence of acute, uncomplicated diverticulitis there has been little original research regarding its dietary management upon presentation to acute care. Due to the lack of evidence and conflicting clinical guidelines, practice varies widely between physicians, but frequently involves a combination of bowel rest and liquid diets hypothesised to decrease patient symptoms and promote recovery. However, these dietary restrictions are not well evidenced and may increase patient burden and length of stay. Therefore, a prospective observational cohort study was undertaken to investigate the effect of inpatient dietary restriction on length of stay and 30-day diverticulitis reoccurrence in adults with acute, uncomplicated diverticulitis. Methods: Participants were recruited from patients admitted to Robina Hospital during the 14-week period from January to April 2017. Outcomes were compared for physician-prescribed liberalised (no dietary restrictions; n=11) versus restricted (bowel rest/nil by mouth or no solid foods allowed; n=16) inpatient diets. Results: Stepwise multiple linear regression found a liberalised diet decreased length of hospital stay by 1.1 days (P=0.035), after accounting for smoking status and gastrointestinal symptoms (GSRS score) at baseline. There were no statistically significant differences in reoccurrence, visits to general practitioner or gastrointestinal symptoms between groups at 30-days post discharge (P>0.05). Discussion: In acute, uncomplicated diverticulitis, a liberalised diet may be favourable to practitioners and patients compared to a restricted diet as it was associated with decreased length of stay. A randomised controlled trial is needed to strengthen confidence in the findings.

UR - https://publications.qld.gov.au/dataset/fcab78f8-db45-49f5-a134-a67296507ca8/resource/519de0ec-3a7b-4dd4-b2dc-81bc9fab3ba2/download/final-abstract-book.pdf

M3 - Abstract

SP - 37

EP - 38

ER -

Crichton M, Dahl C, Jenkins-Chapman J, Nucera R, Chen Y, Russell K et al. Influence of inpatient dietary restriction on acute uncomplicated diverticulitis: A pilot observational study. 2017. Abstract from The First Gold Coast Health Research Week Conference 2017, Gold Coast, Australia.