Journal article
Beyond Guidelines: The Persistent Challenge of Preoperative Fasting Times
Surgeries, Vol.4(4), pp.611-622
12/01/2023
DOI: 10.3390/surgeries4040059
Abstract
Despite the advancements in evidence-based medicine, many hospitals still maintain high rates of patients undergoing prolonged preoperative fasting. The goal of this study is to determine the prevalence of prolonged fasting time among patients undergoing elective surgeries at a Brazilian university hospital and its associations with clinical and sociodemographic variables. This cross-sectional study was conducted between May and November 2019 and included patients of all ages undergoing elective surgeries. Out of the 293 patients analyzed, 64.2% were male, with ages ranging from 1 to 85 years, and 93.9% were classified as ASA I or II. The prevalence of preoperative fasting exceeding 8 h was 89.4%. An average fasting time exceeding 11 h was observed across all age groups. Patients who underwent procedures in the afternoon had an average fasting time that was 24% longer than those in the morning period (14.9 vs. 12 h, p < 0.001). Surgery time (r = 0.134, p < 0.03) and anesthesia times (r = 0.121, p < 0.04) demonstrated a weak correlation with fasting time. Despite the international consensus on preoperative fasting time, our study demonstrated low adherence to current recommendations. Therefore, healthcare professionals should ensure the comprehension of fasting guidelines, and further studies should aim to identify effective solutions to mitigate prolonged fasting.
Details
- Title: Subtitle
- Beyond Guidelines: The Persistent Challenge of Preoperative Fasting Times
- Creators
- Ricardo Euzebio Ribeiro Silva Junior - Univ Fed Sergipe, Med Sch, BR-49100000 Sao Cristovao, SE, BrazilCamila A. Soriano - Natl Inst Canc, BR-20570120 Rio De Janeiro, BrazilPablo Amercio Silva Lima - Universidade Federal de SergipeBruno Fernandes de Oliveira Santos - Univ Fed Sergipe, Med Sch, BR-49100000 Sao Cristovao, SE, BrazilWesley Goncalves Nascimento Pereira - Universidade Federal de SergipeMarcos Torres de Brito Filho - Universidade Federal de SergipeJulio Cezar Brandao - Universidade Federal de SergipeMarcos Adriano Lessa - University of Iowa, Anesthesia
- Resource Type
- Journal article
- Publication Details
- Surgeries, Vol.4(4), pp.611-622
- Publisher
- Mdpi
- DOI
- 10.3390/surgeries4040059
- ISSN
- 2673-4095
- eISSN
- 2673-4095
- Number of pages
- 12
- Language
- English
- Date published
- 12/01/2023
- Academic Unit
- Anesthesia
- Record Identifier
- 9984656535502771
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