A convenient machine learning model to predict full stomach and evaluate the safety and comfort improvements of preoperative oral carbohydrate in patients undergoing elective painless gastrointestinal endoscopy.

Journal: Annals of medicine
PMID: 38109932

Abstract

BACKGROUND AND AIMS: Assessment of the patient's gastric contents is the key to avoiding aspiration incidents, however, there is no effective method to determine whether elective painless gastrointestinal endoscopy (GIE) patients have a full stomach or an empty stomach. And previous studies have shown that preoperative oral carbohydrates (POCs) can improve the discomfort induced by fasting, but there are different perspectives on their safety. This study aimed to develop a convenient, accurate machine learning (ML) model to predict full stomach. And based on the model outcomes, evaluate the safety and comfort improvements of POCs in empty- and full stomach groups.

Authors

  • Yuzhan Jin
    School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, China.
  • Mingtao Ma
    Department of Anesthesiology, Perioperative and Pain Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
  • Yuqing Yan
    School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, China.
  • Yaoyi Guo
    Department of Anesthesiology, Perioperative and Pain Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
  • Yue Feng
    Nursing School, Sichuan University, China.
  • Chen Chen
    The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
  • Yi Zhong
    Department of Chinese Medicine Science & Engineering,Zhejiang University Hangzhou 310058,China.
  • Kaizong Huang
    Department of Clinical Pharmacology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
  • Huaming Xia
    Nanjing Xiaheng Network System Co., Ltd., Nanjing, China.
  • Yan Libo
    Jiangsu Kaiyuan Pharmaceutical Co., Ltd., Nanjing, China.
  • Yanna Si
    Department of Anesthesiology, Perioperative and Pain Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
  • Jianjun Zou
    School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, China; Department of Clinical Pharmacology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.

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