原创力文档appointment waiting times and education level influence the quality of bowel preparation in adult patients undergoing colonoscopy预约等待时间和教育水平影响肠道准备的质量在成人患者进行结肠镜检查.pdfVIP
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appointment waiting times and education level influence the quality of bowel preparation in adult patients undergoing colonoscopy预约等待时间和教育水平影响肠道准备的质量在成人患者进行结肠镜检查
Chan et al. BMC Gastroenterology 2011, 11:86
/1471-230X/11/86
RESEARCH ARTICLE Open Access
Appointment waiting times and education level
influence the quality of bowel preparation in
adult patients undergoing colonoscopy
*
Wah-Kheong Chan , Arjunan Saravanan, Jeeta Manikam, Khean-Lee Goh and Sanjiv Mahadeva
Abstract
Background: Risk factors for poor bowel preparation are recognized to be independent of the type of bowel
preparation method used. Patient and administrative factors influencing bowel preparation are known to vary in
different healthcare systems.
Methods: A prospective, cross-sectional study of patients undergoing colonoscopy in an Asian tertiary centre was
conducted to identify risk factors associated with poor bowel preparation, and to evaluate the impact of poor
bowel preparation on technical performance and patient comfort.
Results: Data on 501 patients (mean age 60.1 ± 14.0 years old, 51.2% males, 60.9% with secondary education or
higher) was available for analysis. Poor bowel preparation was present in 151 patients (30.1%). Lower education
level (OR = 2.35, 95% CI = 1.54 - 3.60), colonoscopy appointment waiting time beyond 16 weeks (OR = 1.86, 95%
CI = 1.04 - 3.37) and non-adherence to bowel preparation instructions (OR = 4.76, 95% CI = 3.00 - 7.55) were
identified as independent risk factors for poor bowel preparation. Poor bowel preparation was associated with a
lower cecal intubation rate (78.1% versus 98.3%, p 0.001), prolonged total colonoscopy time (25.4 ± 12.6 minutes
versus 16.7 ± 10.2 minutes, p 0.001), and increased patient discomfort during colonoscopy (patient with
moderate to severe abdominal discomfort 31.8% versus 3.2%, p 0.001).
Conclusions: Education levels and appointment waiting times, in addition to non-adherence to bowel preparation
instructions
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