一项混合方法研究,探讨了患者的观点和结果,以测量心脏导管注射前不禁食的结果
Tristin L Kimpton1, Mark Webster1, Kim Ward2
1Te Whatu Ora, Auckland City Hospital, Auckland, New Zealand.
Heart, lung & circulation
|February 24, 2024
概括
在心脏导管之前不禁食是安全的,并且患者更喜欢. 这项研究发现,在接受冠状动脉血管造影和血管塑性手术的非禁食患者中,不增加不良事件.
科学领域:
- 心脏病学 心脏病学
- 患者体验 患者体验
- 医疗程序 医疗程序
背景情况:
- 从历史上看,患者在选择性心脏导管治疗之前禁食.
- 常规禁食不是基于证据的.
- 许多中心已经停止了手术前禁食的做法.
研究的目的:
- 描述患者的经验和不良事件,非禁食的患者接受冠状动脉血管学和血管造形术.
- 确定禁食时间和不良事件之间的关联.
- 评估患者在心脏手术前不禁食的观点.
主要方法:
- 对508名接受心脏导管治疗的患者进行前性观察队列研究.
- 记录了禁食的持续时间和不良事件的发生率.
- 对257名参与者进行调查,询问他们对不禁食的看法.
主要成果:
- 自最后一次饮用液体以来的平均时间: 1.9 小时;自最后一次饮食以来的平均时间: 3.9 小时.
- 最常见的不良事件:低血压 (10.0%). 恶心 (3.9%) 和吐 (0.6%) 率较低;没有出现吸血.
- 自上次摄入以来的时间和不良事件之间没有发现任何关联. 患者更喜欢不禁食;它对幸福感产生了积极的影响.
结论:
- 在心脏导管注射之前不禁食被患者认为是有利的.
- 这项研究提供了证据表明,不禁食是安全的,不良事件发生率低.
- 需要进行更大的多中心研究来确认.
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