Muhammad Saad, Saad Ahmed Waqas, Jazza Aamir, Muhammad Umer Sohail, Ifrah Ansari, Anmol Mohan, Vikash Kumar, Chadi Alraies
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引用次数: 0
Abstract
This meta-analysis compared postprocedural outcomes between fasting and nonfasting groups in patients who underwent cardiac catheterization. Online databases were searched up to September 2024 to identify studies comparing postprocedural outcomes in fasting and nonfasting groups. Data were meta-analyzed using a random-effects model to calculate the standardized mean differences (SMDs) and risk ratios (RRs) with 95% confidence intervals. A total of 7 randomized controlled trials with a total of 2,835 patients (1,433 fasting vs 1,402 nonfasting) were included. Nonfasting patients demonstrated significantly better patient satisfaction scores than fasting patients (SMD -0.72 [-1.33 to -0.12], p = 0.02). There were no significant differences between the fasting and nonfasting groups for nausea/vomiting (RR 1.15 [0.62 to 2.14], p = 0.66), hypoglycemia (RR 0.79 [0.46 to 1.35], p = 0.38), hospital length of stay (SMD -0.16 [-0.71 to 0.38], p = 0.55), aspiration pneumonia (RR 0.46 [0.06 to 3.57], p = 0.46), contrast-associated acute kidney injury (RR 1.48 [0.79 to 2.76], p = 0.22), 30-day mortality (RR 1.53 [0.49 to 4.80], p = 0.46), and hyperglycemia (RR 0.64 [0.34 to 1.19], p = 0.15). Nonfasting improved patient satisfaction and was just as safe as fasting in patients who underwent cardiac catheterization, showing no significant differences in key postprocedural outcomes. Future research should evaluate liberal fasting protocols in distinct populations to ensure safety and guide tailored recommendations.
期刊介绍:
Published 24 times a year, The American Journal of Cardiology® is an independent journal designed for cardiovascular disease specialists and internists with a subspecialty in cardiology throughout the world. AJC is an independent, scientific, peer-reviewed journal of original articles that focus on the practical, clinical approach to the diagnosis and treatment of cardiovascular disease. AJC has one of the fastest acceptance to publication times in Cardiology. Features report on systemic hypertension, methodology, drugs, pacing, arrhythmia, preventive cardiology, congestive heart failure, valvular heart disease, congenital heart disease, and cardiomyopathy. Also included are editorials, readers'' comments, and symposia.