Ultrasound Evaluation of Gastric Emptying in Diabetic Patients: a Comparison With Non-diabetic Controls
A Cohort Study of Ultrasound Evaluation of Gastric Emptying in Diabetic Patients: a Comparison With Non-diabetic Controls
1 other identifier
observational
108
1 country
1
Brief Summary
This is a prospective cohort study. The main objective is to compare the prevalence of a "full stomach" using gastric ultrasound technique, in elective surgical patients with diabetes mellitus compared to non-diabetic controls following the present fasting guidelines (2 h after clear liquid and 6h after a light meal). For patients with a full stomach or intermediate stomach, an consecutive ultrasound scan is performed every 10 min,until empty stomachstomach contents are detected to determine the mean gastric emptying time for clear liquid and light meal, and to investigate the risk factors for delayed stomach emptying in diabetic patients by logistic regression analysis .
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Jul 2017
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2017
CompletedFirst Submitted
Initial submission to the registry
July 9, 2017
CompletedFirst Posted
Study publicly available on registry
July 14, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 30, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
April 30, 2018
CompletedApril 10, 2019
April 1, 2019
10 months
July 9, 2017
April 9, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Prevalence of full stomach
The frequency of a "full stomach" in the diabetic population compared to a non-diabetic control population at 2h after ingesting clear liquid or 6h after light meal.
one day
Secondary Outcomes (1)
Mean gastric emptying time of clear liquid and light meal
one day
Other Outcomes (1)
Risk factors of delayed stomach empty in diabetic patients
one day
Study Arms (2)
Diabetic patients
Non-diabetic patients
Interventions
The fasting time for all patients is 2 h after clear liquid or 6h after a light meal, then gastric ultrasound examination is performed.
Eligibility Criteria
Study participants will be diabetic and non-diabetic patients who are admitted to the surgical department and scheduled to undergo elective surgical procedures. 100 participants will be recruited in total.
You may qualify if:
- diabetes (two fasting plasma glucose concentration≥7mmol/L or casual plasma glucose concentration≥11.1mmol/L);
- age≥18 yr; ASA physical status I-III;
- body mass index \<35kg/m2;
- who are admitted to the surgical department;
- who are able to understand the rationale of the study and provide informed consent.
You may not qualify if:
- pregnancy;
- a history of upper gastrointestinal disease or previous surgery on the oesophagus, stomach or upper abdomen;
- documented abnormalities of the upper gastrointestinal tract such as gastric tumors;
- recent upper gastrointestinal bleeding (within the preceding 1 month);
- taking medicines that may delay gastric emptying(e.g., anticholinergic agents).
- hypothyroidism.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
West China Hospital
Chengdu, Sichuan, 610041, China
Related Publications (1)
Zhou L, Yang Y, Yang L, Cao W, Jing H, Xu Y, Jiang X, Xu D, Xiao Q, Jiang C, Bo L. Point-of-care ultrasound defines gastric content in elective surgical patients with type 2 diabetes mellitus: a prospective cohort study. BMC Anesthesiol. 2019 Oct 10;19(1):179. doi: 10.1186/s12871-019-0848-x.
PMID: 31601180DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Chunling Jiang
West China Hospital
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
July 9, 2017
First Posted
July 14, 2017
Study Start
July 1, 2017
Primary Completion
April 30, 2018
Study Completion
April 30, 2018
Last Updated
April 10, 2019
Record last verified: 2019-04