Pulmonary Aspiration in Elderly Patients
Comparison of the Risk of Pulmonary Aspiration Assessed by Gastric Ultrasound in Elderly Patients in Fasting Group vs. Carbohydrate Loading Group
1 other identifier
interventional
58
1 country
1
Brief Summary
The aim of this study was to compare the risk of pulmonary aspiration assessed with gastric ultrasonography in elderly patients, undergoing elective surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jan 2020
Shorter than P25 for not_applicable
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
First Submitted
Initial submission to the registry
November 3, 2019
CompletedFirst Posted
Study publicly available on registry
November 12, 2019
CompletedStudy Start
First participant enrolled
January 7, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 6, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
August 6, 2020
CompletedOctober 29, 2020
October 1, 2020
7 months
November 3, 2019
October 27, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Incidence of risk of pulmonary aspiration assessed by gastric ultrasound defined by Perlas grade 2
Incidence of Perlas grade 2. Clear fluid is detected in gastric antrum by gastric antral ultrasound on both supine and right lateral decubitus position. Perlas grade 2: fluid appears in both supine and right lateral decubitus positions Perlas grade 1: fluid is detected only in right decubitus position Perlas grade 0: fluid is not detected in both supine and right lateral decubitus positions.
2 hours after intake of last allowable carbohydrate drink time
Secondary Outcomes (2)
cross-sectional area of gastric antrum in supine position
2 hours after intake of last allowable carbohydrate drink time
cross-sectional area of gastric antrum in right decubitus position
2 hours after intake of last allowable carbohydrate drink time
Study Arms (2)
Fasting group
NO INTERVENTIONParticipants will be remained fasted until surgery
Carbohydrate group
EXPERIMENTALParticipants will be allowed to drink carbohydrate beverage before 2 hours of surgery
Interventions
The participants in this group are allowed to drink carbohydrate until 2 hours before surgery
Eligibility Criteria
You may qualify if:
- aged from 65
- scheduled for elective surgery
- American Society of Anesthesiologists physical status 1 or 2
You may not qualify if:
- Diagnosed for diseases that might delay gastric emptying (obesity, diabetes, hiatal hernia, gastro-esophageal reflux disease, ileus)
- psychiatric or mental disorders
- delirium
- dementia
- parkinsonism
- alcoholism
- drug abuse
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Kangbuk Samsung Hospital
Seoul, 03181, South Korea
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical Assistant Professor
Study Record Dates
First Submitted
November 3, 2019
First Posted
November 12, 2019
Study Start
January 7, 2020
Primary Completion
August 6, 2020
Study Completion
August 6, 2020
Last Updated
October 29, 2020
Record last verified: 2020-10