Predictors of inadequate bowel preparation for inpatient colonoscopy

The overall bowel preparation success rate was 57%, and the success rate was higher in the morning procedures compared to the afternoon procedures (71% vs. 46%, p=0.004).

📌 3 Key Takeaways

🎯

Objective & Hypothesis:Background/Aims: Adequate colonic cleansing is essential for achieving effective and safe colonoscopy.

📊

Key Findings & Data:Inpatient status is one of several factors associated with poor bowel preparation leading to incomplete colonoscopy procedures, which in turn may cause increased patient morbidity, missed pathology, prolonged hospital stay, and increased cost.

💡

Conclusion & Impact:The overall bowel preparation success rate was 57%, and the success rate was higher in the morning procedures compared to the afternoon procedures (71% vs. 46%, p=0.004).

🔬Design:Review & Systematic Survey

📍Scope:2015 Verileri

⚙️Variables:Domain Parameters

Özet

Background/Aims: Adequate colonic cleansing is essential for achieving effective and safe colonoscopy. Inpatient status is one of several factors associated with poor bowel preparation leading to incomplete colonoscopy procedures, which in turn may cause increased patient morbidity, missed pathology, prolonged hospital stay, and increased cost. The aim of this study was to identify predictors of inadequate bowel preparation for inpatient colonoscopy.Materials and Methods: Medical records of inpatients who underwent colonoscopy at a university hospital between January 2015 and June 2016 were reviewed. Logistic regression analysis was used to identify predictors of “inadequate” bowel preparation. Odds ratios (OR) with 95% confidence intervals (CI) were reported.Results: We included 130 patients in the analysis with a mean age of 58.2 (17.3) years. Fifty-seven percent of the patients underwent the procedure before noon, and the remaining between noon and 4 pm. The most common indications for inpatient colonoscopies were gastrointestinal bleeding and screening for colorectal cancer, and the majority of patients received meperidine for sedation (38.5%). The overall bowel preparation success rate was 57%, and the success rate was higher in the morning procedures compared to the afternoon procedures (71% vs. 46%, p=0.004). Regression analysis identified procedure time as a significant predictor of bowel preparation success such that procedures performed in the afternoon had lower chances of success (OR=0.32, 95% CI=0.14-0.74, p=0.007). Aspirin use was also a positive predictor for bowel preparation success (OR=3.1, 95% CI=1.03-9.24, p=0.044).Conclusion: Incomplete colonoscopies for inpatients due to inadequate bowel preparation are very common. Procedures performed in the afternoon are less likely to be successful

🔖

Cite This Article

JAWA, H., MOSLİ, M., ALSAMADANİ, W., SAEED, S., ALODAİNİ, R., ALJAHDLİ, E., BAZARAH, S. B., QARİ, Y. (2017). Predictors of inadequate bowel preparation for inpatient colonoscopy. Turkish Journal of Gastroenterology, Cilt: 28 - Sayı: 6, 460–464. https://ajindex.com/articles/410709

📄 Full Text PDF Viewer

Open in New Tab ↗

↗New Tab

📄

PDF görüntüleyici hazırlanıyor...

References (14)

Early DS, Ben-Menachem T, Decker GA, et al. Appropriate use of GI endoscopy. Gastrointest Endosc 2012; 75: 1127-31
Saltzman JR, Cash BD, Pasha SF, et al. Bowel preparation before colonoscopy. Gastrointest Endosc 2015; 81: 781-94
Chokshi RV, Hovis CE, Hollander T, Early DS, Wang JS. Prevalence of missed adenomas in patients with inadequate bowel preparation on screening colonoscopy. Gastrointest Endosc 2012; 75: 1197-203
Hassan C, Bretthauer M, Kaminski MF, et al. Bowel preparation for colonoscopy: European Society of Gastrointestinal Endoscopy (ESGE) guideline. Endoscopy 2013; 45: 142-50
Johnson DA, Barkun AN, Cohen LB, et al. Optimizing adequacy of bowel cleansing for colonoscopy: recommendations from the US multi-society task force on colorectal cancer. Gastroenterology 2014; 147: 903-24
Hautefeuille G, Lapuelle J, Chaussade S, et al. Factors related to bowel cleansing failure before colonoscopy: Results of the PACOME study. United European Gastroenterol J 2014; 2: 22-9
Nguyen DL, Wieland M. Risk factors predictive of poor quality preparation during average risk colonoscopy screening: the importance of health literacy. J Gastrointestin Liver Dis 2010; 19: 369-72
Ness RM, Manam R, Hoen H, Chalasani N. Predictors of inadequate bowel preparation for colonoscopy. Am J Gastroenterol 2001; 96: 1797-802
Hendry PO, Jenkins JT, Diament RH. The impact of poor bowel preparation on colonoscopy: a prospective single centre study of 10,571 colonoscopies. Colorectal Dis 2007; 9: 745-8
Hsu CM, Lin WP, Su MY, Chiu CT, Ho YP, Chen PC. Factors that influence cecal intubation rate during colonoscopy in deeply sedated patients. J Gastroenterol Hepatol 2012; 27: 76-80
Kim JS, Kang SH, Moon HS, et al. Impact of bowel preparation quality on adenoma identification during colonoscopy and optimal timing of surveillance. Dig Dis Sci 2015; 60: 3092-9
Yadlapati R, Johnston ER, Gregory DL, Ciolino JD, Cooper A, Keswani RN. Predictors of inadequate inpatient colonoscopy preparation and its association with hospital length of stay and costs. Dig Dis Sci 2015; 60: 3482-90
Rotondano G, Rispo A, Bottiglieri ME, et al. Quality of bowel cleansing in hospitalized patients undergoing colonoscopy: A multicentre prospective regional study. Dig Liver Dis 2015; 47: 669-74
McNabb-Baltar J, Dorreen A, Al Dhahab H, et al. Age is the only predictor of poor bowel preparation in the hospitalized patient. Can J Gastroenterol Hepatol 2016; 2016: