The impact of sedation on quality metrics of colonoscopy: a single-center experience of 48,838 procedures
| Autor: | Deng Xiaolian, Kan Ying, Jingwang Ye, Weidong Tong, Song Zhao, Baohua Liu, Bin Huang, Anping Zhang, Li Wang, Zhengyong Liu, Fan Li, Chunxue Li |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adenoma
Adult Male medicine.medical_specialty Adolescent Sedation Perforation (oil well) Conscious Sedation Colonic Polyps Colonoscopy Single Center Young Adult 03 medical and health sciences 0302 clinical medicine Internal medicine Humans Medicine In patient Cecum Early Detection of Cancer Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry Medical record Gastroenterology Cecal intubation Middle Aged Hepatology Intestinal Perforation 030220 oncology & carcinogenesis Anesthesia Female 030211 gastroenterology & hepatology Deep Sedation medicine.symptom Colorectal Neoplasms business |
| Zdroj: | International Journal of Colorectal Disease. 35:1155-1161 |
| ISSN: | 1432-1262 0179-1958 |
| DOI: | 10.1007/s00384-020-03586-y |
| Popis: | Investigation of the role of sedation during colonoscopy is meaningful as the advantages of colonoscopy performing with sedation are still controversial. Medical records of patients who underwent colonoscopy in our institution were retrospectively analyzed. The sedation rate, adenoma detection rate (ADR), polyp detection rate (PDR), cecal intubation rate (CIR), iatrogenic colonic perforation rate (ICP) were calculated. A total of 48,838 colonoscopies (24,498 in males) dated from July 2007 to February 2017 were analyzed. The median age was 50 years (range 16–85 years). An overall sedation rate was 80.38%. The PDR was 26.77%, and was not statistically different between colonoscopy with or without sedation (26.67% vs 27.22, p = 0.474). ADR was 12.9% regardless of applying sedation or not (13.0% vs 12.44%, p = 0.337). The CIR was 87.42% in all examinations with an adjusted CIR of 90.34%, and was higher when performed with sedation than without sedation (88.92% vs 80.64%, p |
| Databáze: | OpenAIRE |
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