Pediatric anesthesia & critical care

Effects of Prolonged Preoperative Fasting on Blood Glucose Levels in Pediatric Elective Surgeries: A Systematic Review and Meta‐Analysis

Paediatr AnaesthPublished Systematic review and meta-analysis of observational studies and randomised trials

Pooled result · HypoglycemiaResult — go to the resultRelative risk 2.0 95% CI 0.57–7.03

Authors' conclusion

The meta-analysis revealed a variable relationship between fasting duration and hypoglycemia incidence.

Study context

Population
Pediatric patients posted for elective surgery42 studies (15 RCTs)
Participants
5,121 patients
Comparison
Prolonged vs non-prolonged preoperative fasting
Outcome
Incidence of hypoglycemia

Pooled result

Hypoglycemia

Relative risk

2.0

95% CI 0.57–7.03

P = 0.28

Prolonged fasting vs Non-prolonged fasting
RR 2.0 (95% CI 0.57–7.03); P = 0.28

As reported in the abstract

Original publication

Effects of Prolonged Preoperative Fasting on Blood Glucose Levels in Pediatric Elective Surgeries: A Systematic Review and Meta‐Analysis. Paediatr Anaesth. Published 7 March 2026. doi:10.1002/pan.70167

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