Do We Need Fasting Prior to Coronary Angiography? The CORO-NF Randomized Pragmatic Study.
Am J Med
; 137(7): 666-672, 2024 07.
Article
en En
| MEDLINE
| ID: mdl-38336086
ABSTRACT
BACKGROUND:
Similar to procedures requiring general anesthesia, current guidelines recommend fasting for 6 hours for solids and for 2 hours for liquids prior to coronary angiography, but without data supporting such recommendation. The CORO-NF study aimed at assessing whether a shorter fasting period prior to elective coronary angiography associates with improved patient satisfaction without more complications compared with the standard fasting approach.METHODS:
We conducted a single-center, randomized, prospective, pragmatic study in 2 sequential phases a "conventional protocol phase," continuing the usual practice (F Group); and an "experimental phase" (NF Group), reducing minimum fasting duration to 2 hours. Patients received a questionnaire to express a satisfaction score ranging from 1 (maximum complain/no approval) to 5 (minimum or no complain/full approval). All patients admitted acutely were enrolled in a control A Group registry. Fasting time and every major complication and periprocedural complications were analyzed.RESULTS:
Fasting time was 821 ± 357 minutes in the F Group and 230 ± 146 minutes in the NF Group (P < .001). The satisfaction score was higher in the NF Group (4.2 ± 0.7 vs 2.9 ± 1.2, P < .001), even at multivariable analysis considering fasting time (P < .001). No intraprocedural food ingestion-related adverse events occurred in either of the 2 experimental groups, as well as in the parallel A Group, with no excess of peri- and postprocedural complications in the NF Group.CONCLUSIONS:
The significantly higher satisfaction scores among patients undergoing a shorter-than-recommended fasting period prior to coronary angiography, not counterbalanced by decreased safety, underscores the potential benefits of revising the traditional 6-hour fasting protocols.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Ayuno
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Satisfacción del Paciente
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Angiografía Coronaria
Tipo de estudio:
Clinical_trials
/
Guideline
/
Qualitative_research
Límite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Am J Med
/
Am. j. med
/
American journal of medicine
Año:
2024
Tipo del documento:
Article
País de afiliación:
Italia