shh.sePublikationer
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Normal gastric emptying time of a carbohydrate-rich drink in elderly patients with acute hip fracture: a pilot study.
Sophiahemmet University.
2017 (English)In: BMC Anesthesiology, ISSN 1471-2253, E-ISSN 1471-2253, Vol. 17, no 1Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Guidelines for fasting in elderly patients with acute hip fracture are the same as for other trauma patients, and longer than for elective patients. The reason is assumed stress-induced delayed gastric emptying with possible risk of pulmonary aspiration. Prolonged fasting in elderly patients may have serious negative metabolic consequences. The aim of our study was to investigate whether the preoperative gastric emptying was delayed in elderly women scheduled for surgery due to acute hip fracture.

METHODS: In a prospective study gastric emptying of 400 ml 12.6% carbohydrate rich drink was investigated in nine elderly women, age 77-97, with acute hip fracture. The emptying time was assessed by the paracetamol absorption technique, and lag phase and gastric half-emptying time was compared with two gender-matched reference groups: ten elective hip replacement patients, age 45-71 and ten healthy volunteers, age 28-55.

RESULTS: The mean gastric half-emptying time in the elderly study group was 53 ± 5 (39-82) minutes with an expected gastric emptying profile. The reference groups had a mean half-emptying time of 58 ± 4 (41-106) and 59 ± 5 (33-72) minutes, indicating normal gastric emptying time in elderly with hip fracture.

CONCLUSION: This pilot study in women with an acute hip fracture shows no evidence of delayed gastric emptying after an orally taken carbohydrate-rich beverage during the pre-operative fasting period. This implies no increased risk of pulmonary aspiration in these patients. Therefore, we advocate oral pre-operative management with carbohydrate-rich beverage in order to mitigate fasting-induced additive stress in the elderly with hip fracture.

TRIAL REGISTRATION: ClinicalTrials.gov NCT02753010 . Registered 17 April 2016, retrospectively.

Place, publisher, year, edition, pages
2017. Vol. 17, no 1
Keyword [en]
Aspiration, Carbohydrate leading, Metabolism, Nutrition, Surgery
National Category
Surgery
Identifiers
URN: urn:nbn:se:shh:diva-2590DOI: 10.1186/s12871-016-0299-6PubMedID: 28202056OAI: oai:DiVA.org:shh-2590DiVA: diva2:1075285
Available from: 2017-02-17 Created: 2017-02-17 Last updated: 2017-05-22Bibliographically approved

Open Access in DiVA

fulltext(460 kB)5 downloads
File information
File name FULLTEXT01.pdfFile size 460 kBChecksum SHA-512
873fb827e2de142180c2399406a61a8945363a5460eaf76d0286d53f27ce4438aed34663354ff4625a8b02013a53ae8deba9f0ea9fc9e5493c1f4263851798ae
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed
By organisation
Sophiahemmet University
In the same journal
BMC Anesthesiology
Surgery

Search outside of DiVA

GoogleGoogle Scholar
Total: 5 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 15 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf