Quality of bowel cleansing in hospitalized patients undergoing colonoscopy: A multicentre prospective regional study. Issue 8 (August 2015)

• Record Type: Journal Article
• Authors: Rotondano, Gianluca; Rispo, Antonio; Bottiglieri, Maria E.; De Luca, Leonardo; Lamanda, Roberto; Orsini, Luigi; Bruzzese, Dario; Galloro, Giuseppe; Romano, Marco; Miranda, Agnese; Loguercio, Carmelina; Esposito, Pasquale; Nardone, Gerardo; Compare, Debora; Magno, Luca; Ruggiero, Simona; Imperatore, Nicola; De Palma, Giovanni D.; Gennarelli, Nicola; Cuomo, Rosario; Passananti, Valentina; Cirillo, Michele; Cattaneo, Domenico; Bozzi, Rosa Maria; D'Angelo, Valentina; Marone, Piero; Riccio, Elisabetta; De Nucci, Claudio; Monastra, Santo; Caravelli, Giancarlo; Verde, Clelia; Di Giorgio, Pietro; Giannattasio, Francesco; Capece, Giuseppe; Taranto, Domenico; De Seta, Massimiliano; Spinosa, Giuseppe; De Stefano, Salvatore; Familiari, Valeria; Cipolletta, Livio; Bianco, Maria Antonia; Sansone, Stefano; Galasso, Giovanni; De Colibus, Patrizia; Romano, Maurizio; Borgheresi, Patrizia; Ricco, Giovanni; Martorano, Marco; Gravina, Antonietta Gerarda; Marmo, Riccardo; Rea, Matilde; Maurano, Attilio; Labianca, Orazio; Colantuoni, Enrico; Iuliano, Donato; Trovato, Claudio; Fontana, Aldo; Pasquale, Luigi; Morante, Aristide; Perugini, Bruno; Scaglione, Giuseppe; Mauro, Biagio; the SIED Campania PISCoPO study group investigators;
• Is Part Of: Digestive and liver disease. Volume 47:Issue 8(2015)
• Page Start: 669
• Page End: 674
• Publication Date: 2015-08
• Subjects: Digestive organs -- Diseases -- Periodicals; Liver -- Diseases -- Periodicals; 616.33005
• DOI: 10.1016/j.dld.2015.04.013
• Languages: English
• ISSNs: 1590-8658

Abstract

<abstract abstract-type="author" id="abs0005"> <title id="sect0005">Abstract</title> <sec> <title id="sect0010">Background</title> <p id="spar0005">Quality of bowel cleansing in hospitalized patients undergoing colonoscopy is often unsatisfactory. No study has investigated the inpatient or outpatient setting as cause of inadequate cleansing.</p> </sec> <sec> <title id="sect0015">Aims</title> <p id="spar0010">To assess degree of bowel cleansing in inpatients and outpatients and to identify possible predictors of poor bowel preparation in the two populations.</p> </sec> <sec> <title id="sect0020">Methods</title> <p id="spar0015">Prospective multicentre study on consecutive colonoscopies in 25 regional endoscopy units. Univariate and multivariate analysis with odds ratio estimation were performed.</p> </sec> <sec> <title id="sect0025">Results</title> <p id="spar0020">Data from 3276 colonoscopies were analyzed (2178 outpatients, 1098 inpatients). Incomplete colonoscopy due to inadequate cleansing was recorded in 369 patients (11.2%). There was no significant difference in bowel cleansing rates between in- and outpatients in both colonic segments. In the overall population, independent predictors of inadequate cleansing both at the level of right and left colon were: male gender (odds ratio, 1.20 [1.02–1.43] and 1.27 [1.05–1.53]), diabetes mellitus (odds ratio, 2.35 [1.68–3.29] and 2.12 [1.47–3.05]), chronic constipation (odds ratio, 1.60 [1.30–1.97] and 1.55 [1.23–1.94]), incomplete purge intake (odds ratio, 2.36 [1.90–2.94] and 2.11 [1.68–2.65]) and a runway time >12 h (odds ratio, 3.36 [2.40–4.72] and 2.53 [1.74–3.67]).</p> </sec> <sec> <title id="sect0030">Conclusions</title> <p id="spar0025">We found no difference in the rate of inadequate bowel preparation between hospitalized patients and outpatients.</p> </sec> </abstract>