본문 바로가기
KERD
논문KCI 등재

Risk Factors for Prolonged Hospital Stay after Endoscopy

0

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류내과학

초록

Background/Aims: The recovery room used after endoscopy has limited capacity, and an efficient flow of the endoscopy unitis desired. We investigated the duration of hospital stay after endoscopy and the risk factors for prolonged hospital stay amongoutpatients. Methods: We retrospectively studied consecutive patients who underwent esophagogastroduodenoscopy or colonoscopy at theToyoshima Endoscopy Clinic. We collected data on age, sex, body weight, midazolam and pethidine dosage, respiratory depressionduring endoscopy, and duration of hospital stay after endoscopy (scope out to check out). Risk factors for prolonged hospital stay (>100minutes) were identified using multiple logistic regression analysis. Results: We enrolled 3,898 patients, including 3,517 (90.2%) patients tested under sedation and 381 (9.8%) patients tested withoutsedation. Overall, 442 (11.3%) patients had prolonged stay (>100 min). The mean time difference between sedation group and nonsedationgroup was 44.2 minutes for esophagogastroduodenoscopy and 39.1 minutes for colonoscopy. Age (odds ratio [OR], 1.025;95% confidence interval [CI], 1.014−1.036), female sex (OR, 1.657; 95% CI, 1.220−2.249), and midazolam dose (OR, 1.019; 95% CI,1.013−1.026) were independently associated with prolonged hospital stay after esophagogastroduodenoscopy, with similar results forcolonoscopy. Conclusions: Old age, female sex, and midazolam dose were independent risk factors for prolonged hospital stay after endoscopy.

Abstract

Background/Aims: The recovery room used after endoscopy has limited capacity, and an efficient flow of the endoscopy unitis desired. We investigated the duration of hospital stay after endoscopy and the risk factors for prolonged hospital stay amongoutpatients. Methods: We retrospectively studied consecutive patients who underwent esophagogastroduodenoscopy or colonoscopy at theToyoshima Endoscopy Clinic. We collected data on age, sex, body weight, midazolam and pethidine dosage, respiratory depressionduring endoscopy, and duration of hospital stay after endoscopy (scope out to check out). Risk factors for prolonged hospital stay (>100minutes) were identified using multiple logistic regression analysis. Results: We enrolled 3,898 patients, including 3,517 (90.2%) patients tested under sedation and 381 (9.8%) patients tested withoutsedation. Overall, 442 (11.3%) patients had prolonged stay (>100 min). The mean time difference between sedation group and nonsedationgroup was 44.2 minutes for esophagogastroduodenoscopy and 39.1 minutes for colonoscopy. Age (odds ratio [OR], 1.025;95% confidence interval [CI], 1.014−1.036), female sex (OR, 1.657; 95% CI, 1.220−2.249), and midazolam dose (OR, 1.019; 95% CI,1.013−1.026) were independently associated with prolonged hospital stay after esophagogastroduodenoscopy, with similar results forcolonoscopy. Conclusions: Old age, female sex, and midazolam dose were independent risk factors for prolonged hospital stay after endoscopy.

참고문헌 (33)

  1. Jun Kyu Lee, "Updates on the Sedation for Gastrointestinal Endoscopy", Clinical Endoscopy, 52(5), pp.451~457 (2019), 대한소화기내시경학회[DOI]
  2. Nishizawa T, "Dexmedetomidine versus midazolam for gastrointestinal endoscopy : a meta-analysis", Dig Endosc, 27, pp.8~15 (2015)
  3. Hermanus H. B. Vaessen, "Considerable Variability of Procedural Sedation and Analgesia Practices for Gastrointestinal Endoscopic Procedures in Europe", Clinical Endoscopy, 49(1), pp.47~55 (2016), 대한소화기내시경학회
  4. Otto S. Lin, "Sedation for routine gastrointestinal endoscopic procedures: a review on efficacy, safety, efficiency, cost and satisfaction", Intestinal research, 15(4), pp.456~466 (2017), 대한장연구학회
  5. ASGE Standards of Practice Committee, "Guidelines for sedation and anesthesia in GI endoscopy", Gastrointest Endosc, 87, pp.327~337 (2018)
  6. McQuaid KR, "A systematic review and meta-analysis of randomized, controlled trials of moderate sedation for routine endoscopic procedures", Gastrointest Endosc, 67, pp.910~923 (2008)
  7. Mathus-Vliegen EM, "Significant and safe shortening of the recovery time after flumazenil-reversed midazolam sedation", Dig Dis Sci, 59, pp.1717~1725 (2014)
  8. Eun Hye Kim, "Endoscopist-Directed Propofol: Pros and Cons", Clinical Endoscopy, 47(2), pp.129~134 (2014), 대한소화기내시경학회
  9. Nishizawa T, "Propofol for gastrointestinal endoscopy", United European Gastroenterol J, 6, pp.801~805 (2018)
  10. 문성훈, "Sedation Regimens for Gastrointestinal Endoscopy", Clinical Endoscopy, 47(2), pp.135~140 (2014), 대한소화기내시경학회
  11. Khan KJ, "The benefit of fentanyl in effective sedation and quality of upper endoscopy : a double-blinded randomized trial of fentanyl added to midazolam versus midazolam alone for sedation", J Can Assoc Gastroenterol, 2, pp.86~90 (2019)
  12. Gwan Woo Hong, "Comparison of Fentanyl versus Meperidine in Combination with Midazolam for Sedative Colonoscopy in Korea", Clinical Endoscopy, 53(5), pp.562~567 (2020), 대한소화기내시경학회[DOI]
  13. Nishizawa T, "Adverse events associated with bidirectional endoscopy with midazolam and pethidine", J Clin Biochem Nutr, 66, pp.78~81 (2020)
  14. Eschenfeldt PC, "Analysis of factors associated with extended recovery time after colonoscopy", PLoS One, 13, pp.e0199246~ (2018)
  15. Toyoshima O, "Helicobacter pylori infection in subjects negative for high titer serum antibody", World J Gastroenterol, 24, pp.1419~1428 (2018)
  16. Toyoshima O, "CF290 for pancolonic chromoendoscopy improved sessile serrated polyp detection and procedure time : a propensity score-matching study", Endosc Int Open, 7, pp.E987~E993 (2019)
  17. Toyoshima O, "Nodularity-like appearance in the cardia : novel endoscopic findings for Helicobacter pylori infection", Endosc Int Open, 8, pp.E770~E774 (2020)
  18. Cohen LB, "AGA institute review of endoscopic sedation", Gastroenterology, 133, pp.675~701 (2007)
  19. Toyoshima O, "Expert endoscopists with high adenoma detection rates frequently detect diminutive adenomas in proximal colon", Endosc Int Open, 8, pp.E775~E782 (2020)
  20. Hong MJ, "Randomized comparison of recovery time after use of remifentanil alone versus midazolam and meperidine for colonoscopy anesthesia", Dig Endosc, 27, pp.113~120 (2015)
  21. Shinozaki M, "Recovery of psychomotor function after propofol sedation is prolonged in the elderly", Can J Anaesth, 49, pp.927~931 (2002)
  22. 진화정, "Factors Affecting Recovery Time after Sedation for Upper Gastrointestinal Endoscopy", 전남의대학술지, 56(3), pp.191~195 (2020), 의과학연구소[DOI]
  23. Nishizawa T, "Pethidine dose and female sex as risk factors for nausea after esophagogastroduodenoscopy", J Clin Biochem Nutr, 63, pp.230~232 (2018)
  24. Teh KKJ, "Impact of enhanced personal protective equipment on colonoscopy performance during the COVID-19 pandemic", Endosc Int Open, 8, pp.E809~E814 (2020)
  25. 한지민, "Sharing Our Experience of Operating an Endoscopy Unit in the Midst of a COVID-19 Outbreak", Clinical Endoscopy, 53(2), pp.243~245 (2020), 대한소화기내시경학회[DOI]
  26. Yu Q, "Comprehensive gastroenterology endoscopy unit workflow and infection prevention during the COVID-19 Pandemic : experience with 159 cases in Wuhan, China", Dig Endosc, 33, pp.195~202 (2021)
  27. Gralnek IM, "ESGE and ESGENA position statement on gastrointestinal endoscopy and the COVID-19 pandemic", Endoscopy, 52, pp.483~490 (2020)
  28. Yoshida S, "Real-world clinical data of endoscopy-based cancer detection during the emergency declaration for COVID-19 in Japan", World J Gastrointest Endosc, 12, pp.401~403 (2020)
  29. Bhandari P, "Recovery of endoscopy services in the era of COVID-19 : recommendations from an international Delphi consensus", Gut, 69, pp.1915~1924 (2020)
  30. Takagi K, "Work-style reform of emergency physicians : the Japanese experience", Eur J Emerg Med, 26, pp.398~399 (2019)
  31. Nishimura Y, "Factors related to burnout in resident physicians in Japan", Int J Med Educ, 10, pp.129~135 (2019)
  32. Fredman B, "The effect of midazolam premedication on mental and psychomotor recovery in geriatric patients undergoing brief surgical procedures", Anesth Analg, 89, pp.1161~1166 (1999)
  33. Liangpunsakul S, "Activity of CYP2E1 and CYP3A enzymes in adults with moderate alcohol consumption : a comparison with nonalcoholics", Hepatology, 41, pp.1144~1150 (2005)

관련 논문AI추천

Factors impacting patient cooperation during elective gastroscopy김정환, 박형석, 성인경, 심찬섭, 이상표, 이선영대한내과학회 · The Korean Journal of Internal Medicine2017 · 제32권 제5호Respiratory complications during recovery from gastrointestinal endoscopies performed by gastroenterologists under moderate sedationAmir Zabida, Dina Orkin, Guy Zahavi, Haim Berkenstadt, Inna Eidelman Pozin, Moshe Nadler대한소화기내시경학회 · Clinical Endoscopy2023 · 제56권 제2호Delayed Flumazenil Injection after Endoscopic Sedation Increases Patient Satisfaction Compared with Immediate Flumazenil Injection정석, 권계숙, 김형길, 박신구, 방병욱, 신용운, 이돈행, 정현정거트앤리버 소화기연관학회협의회 · Gut and Liver2014 · 제8권 제1호Safety and Recipient Satisfaction of Propofol Sedation in Outpatient Endoscopy: A 24-Hour Prospective Investigation Using a Questionnaire SurveyDaichi Komabayashi, Fumisato Kozakai, Haruka Okano, Hiroaki Kusunose, Kaori Masu, Kazuaki Miyamoto, Kazuki Endo, Kei Ito, Keisuke Yonamine, Megumi Tanaka, Shinsuke Koshita, Shohei Suzuki, Takahisa Ogawa, Takeshi Shimizu, Taku Yamagata, Tetsuya Ohira, Tomohiro Shimada, Toshitaka Sakai, Yoshihide Kanno, Yoshihiro Harada, Yoshiki Koike대한소화기내시경학회 · Clinical Endoscopy2021 · 제54권 제3호Predicting Colonoscopy Time: A Quality Improvement InitiativeAbhinav Goyal, Deepanshu Jain, Stacey Zavala대한소화기내시경학회 · Clinical Endoscopy2016 · 제49권 제6호Safety and Efficacy of Deep Sedation with Propofol Alone or Combined with Midazolam Administrated by Nonanesthesiologist for Gastric Endoscopic Submucosal Dissection김경오, 김성열, 김종혁, 박동선, 박지원, 박충기, 백일현, 천승연거트앤리버 소화기연관학회협의회 · Gut and Liver2012 · 제6권 제4호

이 간행물의 다른 논문 (26건)