Fasting vs Non-Fasting Before Cardiac Catheterization: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Autor: Saad M; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan. Electronic address: msaadasif.md@gmail.com., Waqas SA; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan., Aamir J; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan., Sohail MU; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan., Ansari I; Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan., Mohan A; Department of Medicine, Mayo Clinic, Rochester, MN, USA., Kumar V; Department of Internal Medicine, Creighton University of Arizona, AZ, USA., Alraies C; Cardiovascular Institute, Detroit Medical Center, DMC Heart Hospital, Detroit, MI, USA.
Jazyk: angličtina
Zdroj: The American journal of cardiology [Am J Cardiol] 2024 Nov 27. Date of Electronic Publication: 2024 Nov 27.
DOI: 10.1016/j.amjcard.2024.11.030
Abstrakt: Aims: This meta-analysis compared post-procedural outcomes between fasting and non-fasting groups in patients undergoing cardiac catheterization.
Methods: Online databases were searched up to September 2024 to identify studies comparing post-procedural outcomes in fasting and non-fasting groups. Data were meta-analyzed using a random-effects model to calculate standardized mean differences (SMD) and risk ratios (RR) with 95% confidence intervals (CIs).
Results: Seven randomized controlled trials with a total of 2,835 patients (1,433 fasting vs. 1,402 non-fasting) were included. Non-fasting patients demonstrated significantly better patient satisfaction scores compared to fasting patients (SMD: -0.72 [-1.33, -0.12]; P = 0.02). There were no significant differences between fasting and non-fasting groups for nausea/vomiting (RR: 1.15 [0.62, 2.14]; P = 0.66), hypoglycemia (RR: 0.79 [0.46, 1.35]; P = 0.38), hospital length of stay (SMD: -0.16 [-0.71, 0.38]; P = 0.55), aspiration pneumonia (RR: 0.46 [0.06, 3.57]; P = 0.46), contrast-associated acute kidney injury (RR: 1.48 [0.79, 2.76]; P = 0.22), 30-day mortality (RR: 1.53 [0.49, 4.80]; P = 0.46), hyperglycemia (RR: 0.64 [0.34, 1.19]; P = 0.15).
Conclusion: Non-fasting improved patient satisfaction and was just as safe as fasting in patients undergoing cardiac catheterization, showing no significant differences in key post-procedural outcomes. Future research should evaluate liberal fasting protocols in distinct populations to ensure safety and guide tailored recommendations.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE
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