Comprehensive audit of gastrointestinal endoscopy adverse events: Emphasizing quality indicators and economic impact with the AIG-AGREE modification.

Autor:	Katrevula A; Medical Gastroenterology, AIG Hospitals, Hyderabad, India., Singla N; Medical Gastroenterology, AIG Hospitals, Hyderabad, India., Rughwani H; Medical Gastroenterology, AIG Hospitals, Hyderabad, India., Jagtap N; Medical Gastroenterology, AIG Hospitals, Hyderabad, India., Katukuri GR; Medical Gastroenterology, AIG Hospitals, Hyderabad, India., Godbole S; Medical Gastroenterology, AIG Hospitals, Hyderabad, India., Teles de Campos S; Gastro-entérologie, Université Libre de Bruxelles, Bruxelles, Belgium., Memon SF; Department of Clinical research, AIG Hospitals, Hyderabad, India., Inavolu P; Medical Gastroenterology, AIG Hospitals, Hyderabad, India., Singh AP; Medical Gastroenterology, AIG Hospitals, Hyderabad, India., Mathur SS; Medical Gastroenterology, AIG Hospitals, Hyderabad, India., Ashraf A; Medical Gastroenterology, AIG Hospitals, Hyderabad, India., Patel R; Medical Gastroenterology, AIG Hospitals, Hyderabad, India., Haja A; Medical Gastroenterology, AIG Hospitals, Hyderabad, India., Asif S; Medical Gastroenterology, AIG Hospitals, Hyderabad, India., Katamareddy T; Anesthesia, AIG Hospitals, Hyderabad, India., Kalapala R; Medical Gastroenterology, AIG Hospitals, Hyderabad, India., Ramchandani M; Medical Gastroenterology, AIG Hospitals, Hyderabad, India., Lakhtakia S; Medical Gastroenterology, AIG Hospitals, Hyderabad, India., Santosh D; Anesthesia, AIG Hospitals, Hyderabad, India., Reddy N; Medical Gastroenterology, AIG Hospitals, Hyderabad, India.
Jazyk:	angličtina
Zdroj:	Endoscopy international open [Endosc Int Open] 2024 Oct 28; Vol. 12 (10), pp. E1242-E1250. Date of Electronic Publication: 2024 Oct 28 (Print Publication: 2024).
DOI:	10.1055/a-2435-5445
Abstrakt:	Background and study aims: This study aimed to conduct a clinical audit of adverse events (AEs) arising from gastrointestinal endoscopy, utilizing the AGREE classification for AEs and establishing its correlation with the ASGE classification. This study further integrated the economic repercussions of AEs into the AGREE classification through the AIG-AGREE modification. Patients and methods: A prospective observational study was conducted at the Asian Institute of Gastroenterology, Hyderabad, India, from July 1, 2021, to December 31, 2021. The study included all patients who underwent diagnostic or therapeutic endoscopic procedures. AEs were categorized using the American Society of Gastrointestinal Endoscopy (ASGE) and AGREE classifications. A quality indicator questionnaire containing 15 questions was graded based on the latest ASGE and European Society of Gastrointestinal Endoscopy guidelines. The grading scale ranged from 1 to 3 (poor), 4 to 6 (average), 7 to 9 (excellent), to 10 (outstanding). In addition, the AIG-AGREE modification divided the economic impact into five scales (α, β, γ, δ, and ε) based on multiples of the baseline amount. (ClinicalTrials.gov Identifier: NCT05228353) Results: Over the 6-month study period, a total of 42,471 endoscopic procedures were performed, identifying 220 AEs. Analysis revealed a significant positive correlation (Pearson correlation coefficient = 0.79; P < 0.001) between the grades of AEs in the AGREE and ASGE classifications. The median score for all quality indicators was 8, indicating excellent services based on feedback from 13,042 surveyed patients. Notably, patients with more severe AEs (AGREE III-V) exhibited higher economic impact categories (β, γ, δ, ε) compared with those with less severe AEs (AGREE I-II). Conclusions: The AIG-AGREE modification stands as a pioneering effort that highlights the importance of considering economic factors in the evaluation of AEs in gastrointestinal endoscopy. Competing Interests: Conflict of Interest The authors declare that they have no conflict of interest. (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).)
Databáze:	MEDLINE
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