ESC Congress 24 — Fasting prior to cardiac catheterisation surgery significantly improves patient satisfaction score.

We are joined onsite by Dr David Ferreira (John Hunter Hospital, AU) to discuss the findings from the SCOFF Trial (ACTRN12622001455752), which randomized 716 patients in a 1:1 fashion to either a no fasting group, or a fasting group. The fasting group were allowed solid foods 6 hours prior to surgery, and clear liquids up to 2 hours before surgery. Primary composite outcomes encompass hypotension, hyperglycaemia and aspiration pneumonia, whilst secondary outcomes investigate patient satisfaction, contrast-induced nephropathy, ICU admissions, ventilation requirements post-procedure and 30-day mortality and readmission.

The findings suggest that no fasting was non-inferior and superior to fasting prior to cardiac catheterisation coronary and implantable device procedures for the primary composite outcome of the trial. Patient reported satisfaction scores were significantly higher in the no fasting group. 

Interview Questions: 

1. What is the reasoning behind this study?
2. Could you tell us about the patient population and study design?
3. What are the key outcomes?
4. Were there any surprising or unexpected results?
5. How should this finding impact clinical practice?
6. What are the next steps?

Recorded on-site at ESC Congress 2024, London.

Editors: Jordan Rance and Mirjam Boros.
Videographers: Mike Knight, Dan Brent, Oliver Miles, Tom Green, David-Ben-Harosh.

Support: This is an independent interview produced by Radcliffe Cardiology.