Evidence map›Paper›PMID 40635341›Full record

Trial reportCroatian medical journal2025

The effects of honey solution on postoperative stress, gastric motility, and patient comfort: a randomized controlled trial.

Janja Tarčuković, Lucia Klarica, Mario Dugonjić, Ivan Vuksan, Tomislav Pavlešić, Pavica Šonjić, Lidija Bilić-Zulle, Miroslav Župčić, Alan Šustić, Marko Zelić

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Croatian medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Janja TarčukovićJanja Tarčuković, University of Rijeka, Faculty of Medicine, Department of Anesthesiology, Resuscitation, Emergency and Intensive Care Medicine, Tome Strižića 3, 51000 Rijeka, Croatia, janja.kuharic@uniri.hr.
Lucia Klarica
Mario Dugonjić
Ivan Vuksan
Tomislav Pavlešić
Pavica Šonjić
Lidija Bilić-Zulle
Miroslav Župčić
Alan Šustić
Marko Zelić

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo compare the effects of an in-house prepared honey solution (HS) and a commercial carbohydrate beverage (CCB) on postoperative stress response, gastric motility, and self-reported comfort in patients undergoing laparoscopic cholecystectomy.

methodsThis randomized controlled trial enrolled 55 adult patients (the American Society of Anesthesiologists physical status I-II) undergoing laparoscopic cholecystectomy at the University Hospital Center Rijeka from January 1, 2022, to December 31, 2022. Participants were randomly assigned to receive either HS (n=20), prepared from diluted chestnut honey, or CCB (n=35). Both solutions were administered in the volumes of 800 mL the evening before surgery and 400 mL two hours before anesthesia. Stress response and inflammation were assessed by measuring cortisol and interleukin 6 levels at six standardized time points. Gastric motility was evaluated with a paracetamol absorption test, and patient-reported outcomes were recorded postoperatively using a visual analogue scale.

resultsThe HS group exhibited higher cortisol and interleukin 6 levels at multiple perioperative time points compared with the CCB group (P<0.05). However, they had significantly improved gastric motility, with higher paracetamol concentrations 15 to 180 minutes post-ingestion (P=0.028-0.001). Additionally, HS group reported reduced thirst, nausea, and pain, but had lower appetite and well-being scores.

conclusionWhile HS represents a potential natural and cost-effective alternative to CCB, further studies are needed to determine its role within preoperative nutrition strategies for enhanced recovery after surgery.

Indexed as

Cholecystectomy, LaparoscopicGastrointestinal MotilityHoneyPostoperative ComplicationsAdultFemaleHumansHydrocortisoneInterleukin-6MaleMiddle AgedHydrocortisoneInterleukin-6

Identifiers

PMID40635341
PMCPMC12426867

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.