Non-fasting versus fasting before percutaneous cardiac procedures: a systematic review and meta-analysis of randomized controlled trials Article Swipe
Elsayed Balbaa
,
Ahmed A. Ibrahim
,
Mohammad Bazzazeh
,
Shehroze Tabassum
,
Shrouk Ramadan
,
Ahmed Farid Gadelmawla
,
Abdelrahman Elshimy
,
Obieda Altobaishat
,
Mohamed Abuelazm
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1186/s13741-024-00485-6
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1186/s13741-024-00485-6
Background and objective Despite the absence of scientific evidence, fasting before percutaneous cardiac catheterization is still recommended to minimize complications. This systematic review and meta-analysis aimed to compare the outcomes of non-fasting protocols in patients undergoing percutaneous cardiac procedures. Materials and methods A systematic search of PubMed, Scopus, WOS, Embase, and Cochrane was conducted until September 2024. Dichotomous outcomes were pooled using risk ratio (RR), while continuous outcomes were pooled using standardized mean difference (SMD). PROSPERO ID: CRD42024586147. Results Five RCTs with 2034 patients were included. There was no significant difference between both groups regarding patient satisfaction score [SMD − 0.65, 95% CI (− 1.39, 0.09), P = 0.08], intra/postoperative aspiration (RR 1.00, 95% CI [0.20, 4.96], P = 1.00), postprocedural pneumonia (RR 0.60, 95% CI [0.14, 2.51], P = 0.49), emergency endotracheal intubation (RR 0.99, 95% CI [0.10, 9.51], P = 1.00), nausea/vomiting (RR 0.89, 95% CI [0.46, 1.76], P = 0.75), anti-emetic use (RR 0.49, 95% CI [0.24, 1.03], P = 0.06), hypoglycemia (RR 0.74, 95% CI [0.43, 1.28], P = 0.28), and the need for inotrope/vasopressor therapy (RR 1.03, 95% CI [0.81, 1.30], P = 0.82). However, the non-fasting approach significantly decreased the sensation of tiredness/fatigue (SMD − 0.31 with 95% CI [− 0.51, − 0.11], P < 0.001). Conclusion The non-fasting protocol demonstrated comparable efficacy, safety, and overall satisfaction to the conventional fasting approach. Review registration PROSPERO CRD42024586147.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1186/s13741-024-00485-6
- https://perioperativemedicinejournal.biomedcentral.com/counter/pdf/10.1186/s13741-024-00485-6
- OA Status
- gold
- Cited By
- 2
- References
- 27
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4408065763
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4408065763Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1186/s13741-024-00485-6Digital Object Identifier
- Title
-
Non-fasting versus fasting before percutaneous cardiac procedures: a systematic review and meta-analysis of randomized controlled trialsWork title
- Type
-
reviewOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-02-28Full publication date if available
- Authors
-
Elsayed Balbaa, Ahmed A. Ibrahim, Mohammad Bazzazeh, Shehroze Tabassum, Shrouk Ramadan, Ahmed Farid Gadelmawla, Abdelrahman Elshimy, Obieda Altobaishat, Mohamed AbuelazmList of authors in order
- Landing page
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https://doi.org/10.1186/s13741-024-00485-6Publisher landing page
- PDF URL
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https://perioperativemedicinejournal.biomedcentral.com/counter/pdf/10.1186/s13741-024-00485-6Direct link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://perioperativemedicinejournal.biomedcentral.com/counter/pdf/10.1186/s13741-024-00485-6Direct OA link when available
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Medicine, Relative risk, Meta-analysis, Randomized controlled trial, Nausea, Internal medicine, Cochrane Library, Strictly standardized mean difference, Confidence intervalTop concepts (fields/topics) attached by OpenAlex
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2Total citation count in OpenAlex
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2025: 2Per-year citation counts (last 5 years)
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27Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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