Parents Perception and Compliance With Pre Operative Fasting Instructions in Paediatric Patients

Parent's Perception and Compliance With Pre-operative Fasting Instructions in Paediatric Patients Undergoing Day Care Surgery

This study evaluates the perception and compliance with the fasting instructions given to parents of children undergoing surgery. A questionnaire was provided to the parents indicating fasting time requested and actual time of fasting.

Study Overview

• Status: Completed
• Conditions: Fasting
• Intervention / Treatment: Other: study of fasting time among pediatric patients undergoing day care surgery

Detailed Description

American Society of Anesthesiologists (ASA) have recommended fasting guidelines of 8 hours of solids, 6 hours for formula milk, 4 hours for breast milk and 2 hours of clear liquids, for preoperative patients undergoing elective surgery. Parents of Children undergoing surgery are instructed to adhere to these guidelines. Parents might not be compliant with these instructions. They may fast their children less than or more than the recommended time.

Main aim of this study is to find out the incidence of non compliance with the fasting instructions and try to find the reasons for such non compliance.

• Study Type: Observational
• Enrollment (Actual): 1050

Contacts and Locations

Study Locations

• India
  • Chandigarh, India, 160012
    • Post Graduate Institute of Medical Education and Research,

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 1 year to 12 years (CHILD)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

Consecutive children aged 1 to 12 years of ASA I and II category, scheduled to undergo elective day care surgery under general anaesthesia, were included in this prospective study

Description

Inclusion Criteria:

• Children aged 1 to 12 years
• ASA I and II category
• Elective day care surgery
• General anaesthesia planned

Exclusion Criteria

• Parent's refusal to participate.
• Children with complex nutritional requirements eg. feeding via gastrostomy tube
• Parents who cannot read or understand English, Hindi or Punjabi

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
paediatric patients undergoing day care surgery	Other: study of fasting time among pediatric patients undergoing day care surgery; parents of children undergoing day care surgery were given a questionnaire to be filled containing questions regarding time of fasting that was instructed and

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Median duration of fasting	Median time of pre operative fasting as advised by anaesthesiologist/surgeon/nurse in the Pre Anaesthesia Clinic was compared with the Median duration of fasting of the patient just before surgery.	1.5 years
Percentage of parents who followed the preoperative fasting instructions	Percentage of parents who adhered to advised fasting time was compared with percentage of parents who fasted their children more than or less than what was advised.	1.5 years

Secondary Outcome Measures

Outcome Measure	Time Frame
Percentage of parents who attended Pre Anaesthesia Clinic	1.5 years
Percentage of parents who could recall fasting instructions that were provided in Pre Anaesthesia Clinic	1.5 years
Percentage of parents who could tell if they were provided separate fasting instructions for solids and liquid foods	1.5 years
Percentage of parents who could recall if fasting instructions were verbal or written orders	1.5 years
Percentage of parents who received fasting instructions from anyone other than the anaesthetist	1.5 years
Percentage of parents who understood the actual reason to fast before surgery	1.5 years
Percentage of patients who were not adequately fasted.	1.5 years
Percentage of parents who complained about fasting time being too long for their children	1.5 years

Collaborators and Investigators

• Sponsor: Postgraduate Institute of Medical Education and Research, Chandigarh
• Investigators: Principal Investigator: indu bala, MD, PGIMER, Chandigarh, India

Study record dates

Study Major Dates

• Study Start (ACTUAL): July 1, 2014
• Primary Completion (ACTUAL): December 1, 2015
• Study Completion (ACTUAL): December 1, 2015

Study Registration Dates

• First Submitted: May 31, 2018
• First Submitted That Met QC Criteria: July 22, 2018
• First Posted (ACTUAL): July 31, 2018

Study Record Updates

• Last Update Posted (ACTUAL): August 6, 2018
• Last Update Submitted That Met QC Criteria: August 2, 2018
• Last Verified: August 1, 2018

More Information

Terms related to this study

• Keywords: compliance; fasting guidelines
• Other Study ID Numbers: 9605/PG-2Trg/2013/13402

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO