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Differences in preoperative gastric ultrasound findings in elderly compared to the mid-aged surgical patients: A retrospective observational study

This study aimed to compare gastric ultrasound assessments between young and elderly patients, to determine whether the cross-section area (CSA) cutoff values for elderly and young patients should be different, and to suggest CSA cutoff values for elderly patients. This study evaluated the data of 1...

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Autores principales: Ahn, Jin Hee, Shim, Jae-Geum, Lee, Sung Hyun, Ryu, Kyoung-Ho, Lee, Mi Yeon, Kim, Sinae, Gahng, Tae-Ryun, Cho, Eun-Ah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10118380/
https://www.ncbi.nlm.nih.gov/pubmed/37083808
http://dx.doi.org/10.1097/MD.0000000000033595
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author Ahn, Jin Hee
Shim, Jae-Geum
Lee, Sung Hyun
Ryu, Kyoung-Ho
Lee, Mi Yeon
Kim, Sinae
Gahng, Tae-Ryun
Cho, Eun-Ah
author_facet Ahn, Jin Hee
Shim, Jae-Geum
Lee, Sung Hyun
Ryu, Kyoung-Ho
Lee, Mi Yeon
Kim, Sinae
Gahng, Tae-Ryun
Cho, Eun-Ah
author_sort Ahn, Jin Hee
collection PubMed
description This study aimed to compare gastric ultrasound assessments between young and elderly patients, to determine whether the cross-section area (CSA) cutoff values for elderly and young patients should be different, and to suggest CSA cutoff values for elderly patients. This study evaluated the data of 120 patients who underwent elective surgery under general anesthesia between July 2019 and August 2020. Demographic and gastric ultrasound assessment data were retrieved. Patients were divided into the elderly group (n = 58, age: ≥65 years) and young group (n = 62, age: <65 years). The CSAs in the supine and right lateral decubitus positions (RLDP), semiquantitative 3-point Perlas grade (grades 0, 1, and 2), and gastric volume (GV) were determined. CSAs according to different Perlas grades were compared between the 2 groups. To compare normally and non-normally distributed continuous data, Student t test and the Mann–Whitney U test were used, respectively. Categorical data were compared using the chi-square test or Fisher exact test, as appropriate. The receiver operating characteristic (ROC) curves were built for the CSAs to predict pulmonary aspiration. The CSA cutoff values for predicting a high risk of pulmonary aspiration in both the groups were determined. Among patients with Perlas grade 0, the CSA(supine) (P = .002) and CSA(RLDP) (P = .002) were greater in the elderly group than in the young group. The specificity, positive predictive value, and accuracy of the CSA decreased when the CSA cutoff value for the young group was applied to the elderly group. The CSA cutoff values for the elderly group were: CSA(supine), 6.92 cm(2) and CSA(RLDP), 10.65 cm(2). The CSA of the empty stomach was greater in elderly patients than in young patients. We suggest that the following CSA cutoff values should be used for predicting pulmonary aspiration risk in elderly patients: CSA(supine), 6.92 cm(2) and CSA(RLDP), 10.65 cm(2).
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spelling pubmed-101183802023-04-21 Differences in preoperative gastric ultrasound findings in elderly compared to the mid-aged surgical patients: A retrospective observational study Ahn, Jin Hee Shim, Jae-Geum Lee, Sung Hyun Ryu, Kyoung-Ho Lee, Mi Yeon Kim, Sinae Gahng, Tae-Ryun Cho, Eun-Ah Medicine (Baltimore) 3300 This study aimed to compare gastric ultrasound assessments between young and elderly patients, to determine whether the cross-section area (CSA) cutoff values for elderly and young patients should be different, and to suggest CSA cutoff values for elderly patients. This study evaluated the data of 120 patients who underwent elective surgery under general anesthesia between July 2019 and August 2020. Demographic and gastric ultrasound assessment data were retrieved. Patients were divided into the elderly group (n = 58, age: ≥65 years) and young group (n = 62, age: <65 years). The CSAs in the supine and right lateral decubitus positions (RLDP), semiquantitative 3-point Perlas grade (grades 0, 1, and 2), and gastric volume (GV) were determined. CSAs according to different Perlas grades were compared between the 2 groups. To compare normally and non-normally distributed continuous data, Student t test and the Mann–Whitney U test were used, respectively. Categorical data were compared using the chi-square test or Fisher exact test, as appropriate. The receiver operating characteristic (ROC) curves were built for the CSAs to predict pulmonary aspiration. The CSA cutoff values for predicting a high risk of pulmonary aspiration in both the groups were determined. Among patients with Perlas grade 0, the CSA(supine) (P = .002) and CSA(RLDP) (P = .002) were greater in the elderly group than in the young group. The specificity, positive predictive value, and accuracy of the CSA decreased when the CSA cutoff value for the young group was applied to the elderly group. The CSA cutoff values for the elderly group were: CSA(supine), 6.92 cm(2) and CSA(RLDP), 10.65 cm(2). The CSA of the empty stomach was greater in elderly patients than in young patients. We suggest that the following CSA cutoff values should be used for predicting pulmonary aspiration risk in elderly patients: CSA(supine), 6.92 cm(2) and CSA(RLDP), 10.65 cm(2). Lippincott Williams & Wilkins 2023-04-21 /pmc/articles/PMC10118380/ /pubmed/37083808 http://dx.doi.org/10.1097/MD.0000000000033595 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle 3300
Ahn, Jin Hee
Shim, Jae-Geum
Lee, Sung Hyun
Ryu, Kyoung-Ho
Lee, Mi Yeon
Kim, Sinae
Gahng, Tae-Ryun
Cho, Eun-Ah
Differences in preoperative gastric ultrasound findings in elderly compared to the mid-aged surgical patients: A retrospective observational study
title Differences in preoperative gastric ultrasound findings in elderly compared to the mid-aged surgical patients: A retrospective observational study
title_full Differences in preoperative gastric ultrasound findings in elderly compared to the mid-aged surgical patients: A retrospective observational study
title_fullStr Differences in preoperative gastric ultrasound findings in elderly compared to the mid-aged surgical patients: A retrospective observational study
title_full_unstemmed Differences in preoperative gastric ultrasound findings in elderly compared to the mid-aged surgical patients: A retrospective observational study
title_short Differences in preoperative gastric ultrasound findings in elderly compared to the mid-aged surgical patients: A retrospective observational study
title_sort differences in preoperative gastric ultrasound findings in elderly compared to the mid-aged surgical patients: a retrospective observational study
topic 3300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10118380/
https://www.ncbi.nlm.nih.gov/pubmed/37083808
http://dx.doi.org/10.1097/MD.0000000000033595
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