ArticleClinical nutrition (Edinburgh, Scotland)2021
Fasting and surgery timing (FaST) audit.
Article in Clinical nutrition (Edinburgh, Scotland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.
- The effects of elective abdominal surgery on protein turnover: A meta-analysis of stable isotope techniques to investigate postoperative catabolism.Clinical nutrition (Edinburgh, Scotland) · 2022Pooled it
- The effects of honey solution on postoperative stress, gastric motility, and patient comfort: a randomized controlled trial.Croatian medical journal · 2025Trial
- Repeatability of Metabolic Imaging With Hyperpolarized Pyruvate: Back-to-Back Neuroimaging and Blood Analysis.Magnetic resonance in medicine · 2026Article
- Alignment of Australian Hospital Nutrition Standards With National and International Evidence-Based Guidelines: A Scoping Review.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026Article
- Association between preoperative hydration and cardiac surgery-associated acute kidney injury: a prospective observational study.Journal of cardiothoracic surgery · 2026Observational
- Immunometabolism, an emerging field in perioperative and critical care medicine: a narrative review.British journal of anaesthesia · 2026Review
- Development and implementation of a multifaceted strategy to reduce excessive fasting in an acute surgical setting using the behavior change wheel framework.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025Article
- Article
- Feasibility and Safety of Liberal Fluid Fasting in an Orthogeriatric Department: A Prospective Before-and-After Cohort Study.Journal of clinical medicine · 2025Article
- [Effects of "new" antidiabetic drugs on management of anesthesia].Die Anaesthesiologie · 2025Review
- Ultrasound Evaluation of Gastric Emptying and Comparison with Patient-Reported Risk Factors in Elective Surgical Patients.Journal of clinical medicine · 2025Article
- Electronic preoperative fasting abbreviation protocol: creation, application, and training of the patient care team.Revista do Colegio Brasileiro de Cirurgioes · 2025Article
- Abbreviation of preoperative fasting and malnutrition: impact on cost-effectiveness of surgical patients.Revista do Colegio Brasileiro de Cirurgioes · 2025Article
- Factors associated with fasting time in pediatric patients hospitalized for surgery.Revista do Colegio Brasileiro de Cirurgioes · 2025Article
- Comparing preoperative fasting and ultrasound-measured intravascular volume status in elective surgery, enhanced recovery patients versus inpatient, urgent surgery patients and the ability of IVC collapsibility to predict post-induction hypotension.Journal of perioperative practice · 2024Observational
- The activation impact of lactobacillus-derived extracellular vesicles on lipopolysaccharide-induced microglial cell.BMC microbiology · 2024Article
- Liberal Preoperative Fasting in Adults Undergoing Elective Surgery: A Scoping Review Protocol.Anesthesiology research and practice · 2024Article
- Article
- Article
- Effects of Preoperative Oral Electrolyte-Carbohydrate Nutrition Supplement on Postoperative Outcomes in Elderly Patients Receiving Total Knee Arthroplasty: A Prospective Randomized Controlled Trial.Orthopaedic surgery · 2022Article
Corrections and comments
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Authors and funding
15 authors at 8 institutions in 1 country.
Funding
Abstract
BACKGROUND &
aimsInternational guidance advocates the avoidance of prolonged preoperative fasting due to its negative impact on perioperative hydration. This study aimed to assess the adherence to these guidelines for fasting in patients undergoing elective and emergency surgery in the East Midlands region of the UK.
methodsThis prospective audit was performed over a two-month period at five National Health Service (NHS) Trusts across the East Midlands region of the UK. Demographic data, admission and operative details, and length of preoperative fasting were collected on adult patients listed for emergency and elective surgery.
resultsOf the 343 surgical patients included within the study, 50% (n = 172) were male, 78% (n = 266) had elective surgery and 22% (n = 77) underwent emergency surgery. Overall median fasting times (Q1, Q3) were 16.1 (13.0, 19.4) hours for food and 5.8 (3.5, 10.7) hours for clear fluids. Prolonged fasting >12 h was documented in 73% (n = 250) for food, and 21% (n = 71) for clear fluids. Median fasting times from clear fluids and food were longer in the those undergoing emergency surgery when compared with those undergoing elective surgery: 13.0 (6.4, 22.6) vs. 4.9 (3.3, 7.8) hours, and 22.0 (14.0, 37.4) vs. 15.6 (12.9, 17.8) hours respectively, p < 0.0001.
conclusionsDespite international consensus on the duration of preoperative fasting, patients continue to fast from clear fluids and food for prolonged lengths of time. Patients admitted for emergency surgery were more likely to fast for longer than those having elective surgery.
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Registered trials
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.