Safe outpatient discharge after gastrointestinal endoscopy with sedation and analgesia: a systematic literature review.

Autor:	Spinou M; Department of Gastroenterology, 'Konstantopoulio-Patision' General Hospital of Nea Ionia, Athens, Greece (Marianna Spinou, Eleni Kyvelou, Giorgos Aggelopoulos, Antonia Panagaki, Magdalini Manti, Paraskevas Gkolfakis, Nikoletta Mathou, Athanasios Giannakopoulos, Konstantina D. Paraskeva, Georgios Tziatzios)., Kyvelou E; Department of Gastroenterology, 'Konstantopoulio-Patision' General Hospital of Nea Ionia, Athens, Greece (Marianna Spinou, Eleni Kyvelou, Giorgos Aggelopoulos, Antonia Panagaki, Magdalini Manti, Paraskevas Gkolfakis, Nikoletta Mathou, Athanasios Giannakopoulos, Konstantina D. Paraskeva, Georgios Tziatzios)., Aggelopoulos G; Department of Gastroenterology, 'Konstantopoulio-Patision' General Hospital of Nea Ionia, Athens, Greece (Marianna Spinou, Eleni Kyvelou, Giorgos Aggelopoulos, Antonia Panagaki, Magdalini Manti, Paraskevas Gkolfakis, Nikoletta Mathou, Athanasios Giannakopoulos, Konstantina D. Paraskeva, Georgios Tziatzios)., Ziogas DΙ; 1 Department of Internal Medicine, 251 Hellenic Air Force & VA General Hospital, Athens, Greece (Dimitrios Ι. Ziogas)., Panagaki A; Department of Gastroenterology, 'Konstantopoulio-Patision' General Hospital of Nea Ionia, Athens, Greece (Marianna Spinou, Eleni Kyvelou, Giorgos Aggelopoulos, Antonia Panagaki, Magdalini Manti, Paraskevas Gkolfakis, Nikoletta Mathou, Athanasios Giannakopoulos, Konstantina D. Paraskeva, Georgios Tziatzios)., Manti M; Department of Gastroenterology, 'Konstantopoulio-Patision' General Hospital of Nea Ionia, Athens, Greece (Marianna Spinou, Eleni Kyvelou, Giorgos Aggelopoulos, Antonia Panagaki, Magdalini Manti, Paraskevas Gkolfakis, Nikoletta Mathou, Athanasios Giannakopoulos, Konstantina D. Paraskeva, Georgios Tziatzios)., Papaefthymiou A; Endoscopy Unit, Cleveland Clinic London, London, United Kingdom (Apostolis Papaefthymiou).; Department of Gastroenterology, General University Hospital of Larissa, Greece (Apostolis Papaefthymiou)., Gkolfakis P; Department of Gastroenterology, 'Konstantopoulio-Patision' General Hospital of Nea Ionia, Athens, Greece (Marianna Spinou, Eleni Kyvelou, Giorgos Aggelopoulos, Antonia Panagaki, Magdalini Manti, Paraskevas Gkolfakis, Nikoletta Mathou, Athanasios Giannakopoulos, Konstantina D. Paraskeva, Georgios Tziatzios)., Facciorusso A; Gastroenterology Unit, Department of Medical Sciences, University of Foggia, Italy (Antonio Facciorusso)., Mathou N; Department of Gastroenterology, 'Konstantopoulio-Patision' General Hospital of Nea Ionia, Athens, Greece (Marianna Spinou, Eleni Kyvelou, Giorgos Aggelopoulos, Antonia Panagaki, Magdalini Manti, Paraskevas Gkolfakis, Nikoletta Mathou, Athanasios Giannakopoulos, Konstantina D. Paraskeva, Georgios Tziatzios)., Giannakopoulos A; Department of Gastroenterology, 'Konstantopoulio-Patision' General Hospital of Nea Ionia, Athens, Greece (Marianna Spinou, Eleni Kyvelou, Giorgos Aggelopoulos, Antonia Panagaki, Magdalini Manti, Paraskevas Gkolfakis, Nikoletta Mathou, Athanasios Giannakopoulos, Konstantina D. Paraskeva, Georgios Tziatzios)., Triantafyllou K; Hepatogastroenterology Unit, Second Department of Internal Medicine - Propaedeutic, Medical School, National and Kapodistrian University of Athens, 'Attikon' University General Hospital, Athens, Greece (Konstantinos Triantafyllou)., Paraskeva KD; Department of Gastroenterology, 'Konstantopoulio-Patision' General Hospital of Nea Ionia, Athens, Greece (Marianna Spinou, Eleni Kyvelou, Giorgos Aggelopoulos, Antonia Panagaki, Magdalini Manti, Paraskevas Gkolfakis, Nikoletta Mathou, Athanasios Giannakopoulos, Konstantina D. Paraskeva, Georgios Tziatzios)., Vezakis A; Department of Surgery, Aretaieion University Hospital, National and Kapodistrian University of Athens, Greece (Antonios Vezakis)., Vlachogiannakos I; Academic Department of Gastroenterology, Medical School of National and Kapodistrian University of Athens, 'Laiko' General Hospital of Athens, Athens, Greece (Ioannis Vlachogiannakos)., Karamanolis G; Gastroenterology Unit, Second Department of Surgery, Aretaieion University Hospital, School of Medicine, National and Kapodistrian University of Athens, Greece (George Karamanolis)., Tziatzios G; Department of Gastroenterology, 'Konstantopoulio-Patision' General Hospital of Nea Ionia, Athens, Greece (Marianna Spinou, Eleni Kyvelou, Giorgos Aggelopoulos, Antonia Panagaki, Magdalini Manti, Paraskevas Gkolfakis, Nikoletta Mathou, Athanasios Giannakopoulos, Konstantina D. Paraskeva, Georgios Tziatzios).
Jazyk:	angličtina
Zdroj:	Annals of gastroenterology [Ann Gastroenterol] 2024 Sep-Oct; Vol. 37 (5), pp. 499-508. Date of Electronic Publication: 2024 Jul 12.
DOI:	10.20524/aog.2024.0899
Abstrakt:	Sedation and analgesia during gastrointestinal (GI) endoscopy increase procedural quality, contributing at the same time to greater patient satisfaction and willingness to undergo the procedure. Although sedation use has been optimized by the advent of efficacious and safe medications, data regarding the minimal criteria for discharge after outpatient endoscopy remain scant. Moreover, the time of discharge after endoscopy can be highly variable, depending not only on the type of procedure and anesthesia administered, but also on postprocedural complications and the patient's comorbidities. To make things even more conflicting, there is neither consensus among various endoscopic societies, concerning the most appropriate discharge strategy, nor a universally established tool that could be incorporated into everyday clinical practice, allowing patients' safe discharge as well as ability to drive. In this context, we conducted a systematic review, aiming to summarize the evidence regarding the available discharge scoring systems after outpatient GI endoscopy with sedation and analgesia administration. Competing Interests: Conflict of Interest: None (Copyright: © 2024 Hellenic Society of Gastroenterology.)
Databáze:	MEDLINE
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