Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Hip
Abstract number: 26088
NO PROLONGED GASTRIC EMPTYING TIME IN PATIENTS WITH A HIP
FRACTURE; SUGGESTED NUTRITIONAL SUPPORT CLOSE TO SURGERY
Bodil SAMUELSSON 1 , Per HELLSTRöM 2 , Amer AL-ANI 3 , Margareta HEDSTRöM 3
1 Dep of Clinical Science, Karolinska Institutet, Danderyd Hospital and Sophiahemmet
University College, Stockholm (SWEDEN), 2 Div of Gastroenterology, Uppsala
University, Uppsla (SWEDEN), 3 Dep of Clinical Science, Intervention and Technology
(Clintec), Karolinska Institutet, Stockholm (SWEDEN)
Background Fasting guidelines for elderly patients with hip fractures are the same as
for other trauma patients. The reason for the recommended longer fasting time
compared to patients undergoing elective surgery is a suspected stress-induced
delayed gastric emptying with following risk of aspiration. Waiting time for acute
surgery is often more than 24 hours for hip fracture patients, a long fasting time in
patients who often are metabolically deranged already before the trauma. The
purpose of the study was to investigate if a carbohydrate-rich drink could be given
close before surgery and if the gastric emptying rate was delayed in patients with hip
fractures as assumed earlier.Methods The gastric emptying rate of a 12.6 %
carbohydrate rich drink was investigated in 10 elderly women with a hip fracture
waiting for surgery. Results were compared with the gastric emptying rate for two
control groups of healthy persons. The method used to assess the gastric emptying
rate was a paracetamol absorption technique, an indirect measure of the rate of
gastric emptying. Results The gastric emptying profiles were similar between groups.
Mean gastric half-emptying time was 57 +/- 5 minutes. The healthy control groups
had a mean time of 58 +/-5 minutes.Conclusions In this pilot study, we did not find
delayed gastric emptying of a carbohydrate-rich beverage in elderly patients with a
hip fracture waiting for surgery. A carbohydrate rich beverage may therefore be given
with no additional risk of aspiration. This opens possibility to improve nutritional
support close before surgery.
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