Evidence map›Paper›PMID 27222691›Full record

ArticleThe Pan African medical journal2016

Preoperative fasting times in elective surgical patients at a referral Hospital in Botswana.

Worknehe Agegnehu Abebe, Ambrose Rukewe, Negussie Alula Bekele, Moeng Stoffel, Mompelegi Nicoh Dichabeng, Jemal Zeberga Shifa

Open access · goldAbstract read
In one paragraph

Article in The Pan African medical journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
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  8. Enhanced recovery after surgery: An anesthesiologist's perspective.Journal of anaesthesiology, clinical pharmacology · 2019
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Worknehe Agegnehu AbebeUniversity of Botswana, University of Botswana, Department of Anesthesia & Critical Care, Gaborone, Botswana.
Ambrose RukeweUniversity of Botswana, University of Botswana, Department of Anesthesia & Critical Care, Gaborone, Botswana.
Negussie Alula BekeleUniversity of Botswana, University of Botswana, Department of Anesthesia & Critical Care, Gaborone, Botswana.
Moeng StoffelUniversity of Botswana, Department of Statistics, Botswana.
Mompelegi Nicoh DichabengUniversity of Botswana, Department of Emergency Medicine, Gaborone, Botswana.
Jemal Zeberga ShifaUniversity of Botswana, Department of Surgery, Gaborone, Botswana.
University of Botswana · BW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAdults and children are required to fast before anaesthesia to reduce the risk of regurgitation and aspiration of gastric contents. However, prolonged periods of fasting are unnecessary and may cause complications. This study was conducted to evaluate preoperative fasting period in our centre and compare it with the ASA recommendations and factors that influence fasting periods.

methodsThis is a cross-sectional study of preoperative fasting times among elective surgical patients. A total numbers of 260 patients were interviewed as they arrived at the reception area of operating theatre using questionnaire.

resultsMajority of patients (98.1%) were instructed to fast from midnight. Fifteen patients (5.8%) reported that they were told the importance of preoperative fasting. The mean fasting period were 15.9±2.5 h (range 12.0-25.3 h) for solids and 15.3±2.3 h (range 12.0-22.0 h) for liquids. The mean duration of fasting was significantly longer for patients operated after midday compared to those operated before midday, p<0.001.

conclusionThe mean fasting periods were 7.65 times longer for clear liquid and 2.5 times for solids than the ASA guidelines. It is imperative that the Hospital should establish Preoperative fasting policies and teach the staff who should ensure compliance with guidelines.

Indexed as

Practice Guidelines as TopicAdolescentAdultAgedAged, 80 and overAnesthesiaBotswanaChildChild, PreschoolCross-Sectional StudiesElective Surgical ProceduresFastingFemaleHumansMaleMiddle Agedanaesthesiaelective surgical patientfasting instructionsPreoperative fasting

Identifiers

PMID27222691
PMCPMC4867185
OpenAlexW2298453024

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.