Abstract：
OBJECTIVE:To evaluate the frequency and appropriateness of nil per os (nothing by mouth) (NPO) orders and determine the number of meals missed because of these orders among hospitalized patients. PATIENTS AND METHODS:We retrospectively analyzed inpatient NPO orders at an academic institution in the United States. The frequency and duration of NPO orders and the number of meals missed because of these orders were assessed for adult patients admitted to the hospital medicine services from January 1, 2013, through December 31, 2013, with a hospital stay of 2 or more and 30 or fewer days. Two blinded reviewers assessed if the order could be avoided or the period shortened for a random sample of NPO orders of 120 or more minutes' duration that were written for patients on the general medicine ward. RESULTS:A total of 3641 NPO orders were identified. At least one NPO order was placed in 46.6% of the admissions (2211 of 4743). The median duration of NPO orders was 12.8 hours (interquartile range, 9.2-17.3 hours), resulting in 2 (interquartile range, 1-4) missed meals. Of 1130 NPO orders reviewed, 263 (23.3%; 95% CI, 20.9%-25.8%) were deemed avoidable (κ statistic, 0.68), and 482 (42.7%) were unavoidable but led to more missed meals than needed. Taken together, patients could have had 44.8% of the meals (1085 of 2424; 95% CI, 42.8%-46.7%) missed due to NPO orders. CONCLUSION:Approximately half of the patients admitted to the hospital medicine services experienced a period of fasting. One in 4 NPO orders and nearly half of missed meals could have been avoided. Further study is warranted to assess the generalizability of our findings.
journal_name
Mayo Clin Procjournal_title
Mayo Clinic proceedingsauthors
Sorita A,Thongprayoon C,Ahmed A,Bates RE,Ratelle JT,Rieck KM,Devalapalli AP,Issa M,Shah RM,Lalama MA,Wang Z,Murad MH,Kashiwagi DTdoi
10.1016/j.mayocp.2015.07.013subject
Has Abstractpub_date
2015-09-01 00:00:00pages
1225-32issue
9eissn
0025-6196issn
1942-5546pii
S0025-6196(15)00593-5journal_volume
90pub_type
杂志文章abstract：:Abdominal wall pain (AWP) is a common and underrecognized cause of chronic abdominal pain. The etiology of AWP varies. History and physical examination are critical to an accurate diagnosis of AWP. Trigger point injection using either a corticosteroid, a local anesthetic, or a combination of both often gives relief of...
journal_title：Mayo Clinic proceedings
pub_type： 杂志文章,评审
doi：10.1016/j.mayocp.2018.04.031
更新日期：2019-02-01 00:00:00
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章,评审
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journal_title：Mayo Clinic proceedings
pub_type： 历史文章,杂志文章
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章
doi：10.1016/s0025-6196(12)60796-4
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章
doi：
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章
doi：
更新日期：1977-04-01 00:00:00
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journal_title：Mayo Clinic proceedings
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journal_title：Mayo Clinic proceedings
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journal_title：Mayo Clinic proceedings
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章,评审
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章
doi：
更新日期：1980-02-01 00:00:00
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章
doi：
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章
doi：10.4065/76.4.427
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章
doi：
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journal_title：Mayo Clinic proceedings
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章
doi：10.1016/j.mayocp.2019.07.009
更新日期：2019-12-01 00:00:00
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更新日期：2000-06-01 00:00:00
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章
doi：
更新日期：1976-11-01 00:00:00
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journal_title：Mayo Clinic proceedings
pub_type： 杂志文章
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更新日期：2001-02-01 00:00:00
