PMID- 33407397
OWN - NLM
STAT- MEDLINE
DCOM- 20210427
LR  - 20210427
IS  - 1472-6963 (Electronic)
IS  - 1472-6963 (Linking)
VI  - 21
IP  - 1
DP  - 2021 Jan 6
TI  - Effects of a short message service (SMS) by cellular phone to improve compliance 
      with fasting guidelines in patients undergoing elective surgery: a retrospective 
      observational study.
PG  - 27
LID - 10.1186/s12913-020-06039-y [doi]
LID - 27
AB  - BACKGROUND: Contemporary perioperative fasting guidelines aim to alleviate 
      patient discomfort before surgery and enhance postoperative recovery whilst 
      seeking to reduce the risk of pulmonary aspiration during anesthesia. The impact 
      of a short message service (SMS) reminder on fasting guideline compliance is 
      unknown. Therefore, we performed a retrospective observational study and quality 
      improvement project aiming to quantify the extent of excessive and prolonged 
      fasting, and then assessed the impact of a SMS reminder in reducing fasting 
      times. METHODS: After ethics committee approval we performed a retrospective 
      observational study investigating preoperative fasting times of adult patients 
      undergoing elective surgery. First, we assessed whether the fasting guideline 
      times were adhered to (Standard Care group). All patients received 
      internationally recommended fasting guidelines in the form of a written hospital 
      policy document. We then implemented an additional prompt via a mobile phone SMS 
      1 day prior to surgery containing a reminder of fasting guideline times (SMS 
      group). The primary aims were to compare fasting times between the Standard Care 
      group and the SMS group. RESULTS: The fasting times of 160 patients in the 
      Standard Care group and 110 patients in the SMS group were evaluated. Adherence 
      to the fasting guidelines for solids occurred in 14 patients (8.8%) in the 
      Standard Care group vs. Twenty-two patients (13.6%) in the SMS group (p=0.01). 
      Adherence to the fasting guidelines for fluids occurred in 4 patients (2.5%) in 
      the Standard Care group vs. Ten patients (6.3%) in the SMS group (p=0.023). 
      Patients in the Standard Care group had a longer median (inter-quartile range 
      (IQR)) fasting time for fluids compared the SMS group [6.5 h (IQR 4.5:11) vs 
      3.5 h (IQR 3:8.5), p< 0.0001]. Median fasting times for solids were 11 h (IQR 
      7:14) in the Standard Care group and 11.5 h (IQR 7:13.5) in the SMS group 
      (p=0.756). CONCLUSION: Adherence to internationally recommended fasting 
      guidelines for patients undergoing elective surgery is poor. The introduction of 
      a fasting guideline reminder via a mobile phone SMS in addition to a written 
      hospital policy improved adherence to fasting advice and reduced the fasting 
      times for fluids but not for solids. The use of an SMS reminder of fasting 
      guidelines is a simple, feasible, low-cost, and effective tool in minimising 
      excessive fasting for fluids among elective surgical patients. TRIAL 
      REGISTRATION: ACTRN12619001232123 (Australia New Zealand Clinical Trials 
      Registry). Registered 6th September 2019 (retrospectively registered).
FAU - Zia, Faizan
AU  - Zia F
AD  - Department of Anesthesia, Ballarat Base Hospital, Ballarat, VIC, 3350, Australia.
FAU - Cosic, Luka
AU  - Cosic L
AD  - Department of Anesthesia, Austin Hospital, 145 Studley Road, Heidelberg, VIC, 
      3084, Australia.
FAU - Wong, Angela
AU  - Wong A
AD  - Department of Anesthesia, Royal Melbourne Hospital, Parkville, VIC, 3050, 
      Australia.
FAU - Levin, Adam
AU  - Levin A
AD  - Department of Anesthesia, Austin Hospital, 145 Studley Road, Heidelberg, VIC, 
      3084, Australia.
FAU - Lu, Patrick
AU  - Lu P
AD  - Department of Anesthesia, Austin Hospital, 145 Studley Road, Heidelberg, VIC, 
      3084, Australia.
FAU - Mitchell, Craig
AU  - Mitchell C
AD  - Department of Anesthesia, Ballarat Base Hospital, Ballarat, VIC, 3350, Australia.
FAU - Shaw, Michael
AU  - Shaw M
AD  - Department of Anesthesia, Ballarat Base Hospital, Ballarat, VIC, 3350, Australia.
FAU - Rosewarne, Fred
AU  - Rosewarne F
AD  - Department of Anesthesia, Ballarat Base Hospital, Ballarat, VIC, 3350, Australia.
FAU - Weinberg, Laurence
AU  - Weinberg L
AUID- ORCID: 0000-0001-7403-7680
AD  - Department of Anesthesia, Austin Hospital, 145 Studley Road, Heidelberg, VIC, 
      3084, Australia. laurence.weinberg@austin.org.au.
AD  - The Univesity of Melbourne, Department of Surgery,Austin Health, Melbourne, VIC, 
      3084, Australia. laurence.weinberg@austin.org.au.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20210106
PL  - England
TA  - BMC Health Serv Res
JT  - BMC health services research
JID - 101088677
SB  - IM
MH  - Adult
MH  - *Cell Phone
MH  - *Elective Surgical Procedures
MH  - *Fasting
MH  - Humans
MH  - *Patient Compliance
MH  - Preoperative Care
MH  - Reminder Systems
MH  - *Text Messaging
PMC - PMC7788820
OTO - NOTNLM
OT  - Anesthesia
OT  - Fasting
OT  - Peri-operative
OT  - Pre-operative
COIS- The authors declare they have no competing interests.
EDAT- 2021/01/08 06:00
MHDA- 2021/04/28 06:00
PMCR- 2021/01/06
CRDT- 2021/01/07 05:45
PHST- 2019/10/19 00:00 [received]
PHST- 2020/12/21 00:00 [accepted]
PHST- 2021/01/07 05:45 [entrez]
PHST- 2021/01/08 06:00 [pubmed]
PHST- 2021/04/28 06:00 [medline]
PHST- 2021/01/06 00:00 [pmc-release]
AID - 10.1186/s12913-020-06039-y [pii]
AID - 6039 [pii]
AID - 10.1186/s12913-020-06039-y [doi]
PST - epublish
SO  - BMC Health Serv Res. 2021 Jan 6;21(1):27. doi: 10.1186/s12913-020-06039-y.