Factors associated with fasting time in pediatric patients hospitalized for surgery
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View abstract on PubMed
Summary
This summary is machine-generated.Pediatric surgical patients often experience prolonged fasting. Factors like age, prior surgery, and complications influence fasting duration, highlighting opportunities for improved care strategies and patient outcomes.
Area Of Science
- Pediatric Surgery
- Anesthesiology
- Clinical Nutrition
Background
- Shorter fasting periods improve postoperative recovery and reduce risks.
- Current fasting recommendations are challenging to implement in pediatric surgical practice.
- Understanding factors influencing fasting times is crucial for optimizing pediatric surgical care.
Purpose Of The Study
- To investigate the duration of preoperative and postoperative fasting in pediatric surgical patients.
- To identify factors associated with prolonged fasting times in this population.
Main Methods
- A cohort of 284 pediatric patients undergoing surgery was studied.
- Data collected via interviews and medical records from 2020-2021.
- Statistical models (linear and logistic regression) were used to analyze associations.
Main Results
- All patients experienced prolonged preoperative fasting; most resumed feeding 6 hours post-anesthesia.
- Preoperative fasting was shorter for elective vs. urgent surgeries.
- Older age, prior surgery, lack of immediate postoperative care, surgical complications, major operation size, abdominal surgery, and vomiting were linked to longer fasting times.
Conclusions
- Potentially modifiable factors contribute to extended fasting durations in pediatric surgical patients.
- Enhanced healthcare team education and organization can optimize fasting times.
- Improved management of patient characteristics and clinical complications is key to better care.
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