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Normal gastric emptying time of a carbohydrate-rich drink in elderly patients with acute hip fracture: a pilot study

Overview of attention for article published in BMC Anesthesiology, February 2017
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Title
Normal gastric emptying time of a carbohydrate-rich drink in elderly patients with acute hip fracture: a pilot study
Published in
BMC Anesthesiology, February 2017
DOI 10.1186/s12871-016-0299-6
Pubmed ID
Authors

Per M. Hellström, Bodil Samuelsson, Amer N. Al-Ani, Margareta Hedström

Abstract

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. 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. 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. 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. ClinicalTrials.gov NCT02753010 . Registered 17 April 2016, retrospectively.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 91 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 91 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 12 13%
Student > Master 11 12%
Student > Doctoral Student 8 9%
Researcher 7 8%
Student > Ph. D. Student 6 7%
Other 18 20%
Unknown 29 32%
Readers by discipline Count As %
Medicine and Dentistry 23 25%
Nursing and Health Professions 9 10%
Psychology 6 7%
Biochemistry, Genetics and Molecular Biology 3 3%
Pharmacology, Toxicology and Pharmaceutical Science 3 3%
Other 16 18%
Unknown 31 34%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 16 February 2017.
All research outputs
#20,403,545
of 22,953,506 outputs
Outputs from BMC Anesthesiology
#1,184
of 1,504 outputs
Outputs of similar age
#385,154
of 454,358 outputs
Outputs of similar age from BMC Anesthesiology
#35
of 45 outputs
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