A233 BASELINE BOWEL ROUTINE AND OTHER PREDICTORS OF BOWEL PREPARATION IN PATIENTS UNDERGOING OUT-PATIENT COLONOSCOPY; RESULTS FROM A PROSPECTIVE SINGLE-CENTRE STUDY
| العنوان: | A233 BASELINE BOWEL ROUTINE AND OTHER PREDICTORS OF BOWEL PREPARATION IN PATIENTS UNDERGOING OUT-PATIENT COLONOSCOPY; RESULTS FROM A PROSPECTIVE SINGLE-CENTRE STUDY |
|---|---|
| المؤلفون: | A Nehvi, M Khan, Khalid S. Khan, David Morgan, Subhas C. Ganguli, R Spaziani, David Armstrong, S. Jalali, Kelvin K.F. Tsoi, H Fergani |
| المصدر: | Journal of the Canadian Association of Gastroenterology. 2:455-456 |
| بيانات النشر: | Oxford University Press (OUP), 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | medicine.medical_specialty, Single centre, medicine.diagnostic_test, business.industry, digestive, oral, and skin physiology, Bowel preparation, medicine, Colonoscopy, In patient, Posters Of Distinction, business, Baseline (configuration management), Surgery |
| الوصف: | BACKGROUND: Bowel preparation is essential as a quality measure of colonoscopy. Many studies have reported factors associate with a good bowel preparation but few have evaluated the effect of baseline bowel habit as a predictor. AIMS: We aimed to identify factors associated with a good bowel preparation. Specifically, we wanted to determine if baseline bowel habit predicted response to bowel preparation and how accurate patient perception of their bowel preparation was compared to a standard bowel prep score. METHODS: Prospective data was collected from out-patients undergoing colonoscopy in the form of a survey in the waiting room of the endoscopy unit. Data included baseline patient and endoscopy factors, and was compared to endoscopist reported Ottawa Bowel Preparation Score (OBPS) to look for correlation in a statistical analysis. RESULTS: Data were available for 243 patients; mean age 57 years, 46% male, 51% had more than a high school education. PEG-Lyte solution (4L) was used for bowel preparation by 48 (19.8%) and sodium picosulfate by 190 (80.2%). The mean OBPS was 3.48 +/- 2.47 SD. The baseline Bristol Stool Form Score (BSFS) was 1–2 in 13%, 3–5 in 74%, and 6–7 in 13% of patients, but BSFS did not predict a better OBPS (p=0.82). The mean times from the patients’ last fluids and last solids food to colonoscopy was 5.47 +/- 5.0 and 27.8 +/- 4.8 hours respectively, but neither was a significant predictor of better bowel prep. More procedures were in the afternoon (78%) but there was no difference in the OBPS in the morning and afternoon (Mann-Whitney test, p=0.47). Self-assessment of the quality of bowel preparation was not correlated with OBPS (Spearman rho 0.03, p=0.63), but a patients’ level of concern with not having a clean enough preparation was correlated with a worse OBPS (Spearman rho -0.175, p=0.012). The only significant predictor in a univariate analysis was bowel preparation type with sodium picosulfate being significantly better (Mann Whitney test, p |
| تدمد: | 2515-2092 2515-2084 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::88fc7430ec6d5819adfda1ff53ce61a4 https://doi.org/10.1093/jcag/gwz006.232 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....88fc7430ec6d5819adfda1ff53ce61a4 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 25152092 25152084 |
|---|