在导管实验室程序之前不禁食的安全性和护理:一个非劣势随机对照试验协议 (SCOFF试验)
David Ferreira1,2,3, Jack Hardy1, Will Meere4
1Department of Cardiovascular Medicine, John Hunter Hospital, Lookout Road, Newcastle 2305, Australia.
European heart journal open
|November 29, 2023
概括
在心脏导管注射之前禁食可能不会减少不良事件,并带来风险. 这项研究比较了禁食与不禁食,发现这些程序可能不需要常规禁食.
科学领域:
- 心脏病学 心脏病学
- 临床试验 临床试验
- 患者安全 患者安全
背景情况:
- 心脏导管治疗通常涉及禁食,尽管证据有限,以尽量减少吸入风险.
- 禁食会带来脱水,不适等风险,并影响血糖控制,特别是在程序延迟时.
研究的目的:
- 为了比较禁食和不禁食在心脏导管注射之前的有效性和安全性.
- 评估禁食对术前不良事件和患者结局的影响.
主要方法:
- 澳大利亚的一项多中心随机试验 (PROBE设计).
- 患者被随机分配到标准禁食方案或没有禁食要求.
- 主要结局:低血压,高血糖,低血糖和吸气性肺炎的组合.
主要成果:
- 这项研究旨在确定常规禁食是否有益或有害.
- 评估了二次结果,包括患者满意度和主要不良事件.
结论:
- 在心脏导管注射之前,可能不需要常规禁食.
- 这项研究提供了证据,证明了对程序前禁食指南的务实方法.
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