Preassessment Interview Improves the Efficacy and Safety of Bowel Preparation for Colonoscopy
Aim. To determine whether preassessment improves bowel preparation quality and prevents renal deterioration for chronic kidney disease (CKD) patients. Methods. Data was collected prospectively starting in January 2011 for 12 months. Patients were divided according to the presence or absence of preas...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Canadian Journal of Gastroenterology and Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2016/7591637 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849413712742449152 |
|---|---|
| author | Hari Padmanabhan Alexander Rothnie Andy Higgins Amandeep Grewal Katherine Arndtz Alan. M. Nevill Matthew. J. Brookes Ray Mathew |
| author_facet | Hari Padmanabhan Alexander Rothnie Andy Higgins Amandeep Grewal Katherine Arndtz Alan. M. Nevill Matthew. J. Brookes Ray Mathew |
| author_sort | Hari Padmanabhan |
| collection | DOAJ |
| description | Aim. To determine whether preassessment improves bowel preparation quality and prevents renal deterioration for chronic kidney disease (CKD) patients. Methods. Data was collected prospectively starting in January 2011 for 12 months. Patients were divided according to the presence or absence of preassessment and stratified to one of three risk groups based on patient’s comorbidities and identified risk factors for poor bowel preparation; group 1 had no risk factors, group 2 had 1 risk factor, and group 3 patients had 2 or more risk factors. The association between preassessment and bowel preparation quality was analyzed using binary logistic regression. Results. 1840 colonoscopies were carried out during the period. Total number analyzed was 1704. 404 patients were preassessed. Preassessment patients had significantly better bowel preparation across all groups (OR 1.605; p=0.002). Group 3 patients were 52% more likely to have good bowel preparation (p=0.04) if they had been preassessed. Eighty-eight patients were identified with an eGFR < 60 mL/min. There was a significant difference in the eGFR percentage change between patients with preassessment and those without (p=0.006). Conclusions. Face-to-face preassessment appears to improve the quality of bowel preparation and aids in minimizing the risk of renal injury in patients with CKD. |
| format | Article |
| id | doaj-art-67aa9c46394543f3b1651fa362d1a4b6 |
| institution | Kabale University |
| issn | 2291-2789 2291-2797 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology and Hepatology |
| spelling | doaj-art-67aa9c46394543f3b1651fa362d1a4b62025-08-20T03:34:03ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27892291-27972016-01-01201610.1155/2016/75916377591637Preassessment Interview Improves the Efficacy and Safety of Bowel Preparation for ColonoscopyHari Padmanabhan0Alexander Rothnie1Andy Higgins2Amandeep Grewal3Katherine Arndtz4Alan. M. Nevill5Matthew. J. Brookes6Ray Mathew7Gastroenterology Unit, County Hospital, Stafford, UKGastroenterology Unit, County Hospital, Stafford, UKGastroenterology Unit, County Hospital, Stafford, UKGastroenterology Unit, County Hospital, Stafford, UKGastroenterology Unit, County Hospital, Stafford, UKResearch Institute of Healthcare Sciences, University of Wolverhampton, Wolverhampton, UKGastroenterology Unit, New Cross Hospital, Wolverhampton, UKGastroenterology Unit, County Hospital, Stafford, UKAim. To determine whether preassessment improves bowel preparation quality and prevents renal deterioration for chronic kidney disease (CKD) patients. Methods. Data was collected prospectively starting in January 2011 for 12 months. Patients were divided according to the presence or absence of preassessment and stratified to one of three risk groups based on patient’s comorbidities and identified risk factors for poor bowel preparation; group 1 had no risk factors, group 2 had 1 risk factor, and group 3 patients had 2 or more risk factors. The association between preassessment and bowel preparation quality was analyzed using binary logistic regression. Results. 1840 colonoscopies were carried out during the period. Total number analyzed was 1704. 404 patients were preassessed. Preassessment patients had significantly better bowel preparation across all groups (OR 1.605; p=0.002). Group 3 patients were 52% more likely to have good bowel preparation (p=0.04) if they had been preassessed. Eighty-eight patients were identified with an eGFR < 60 mL/min. There was a significant difference in the eGFR percentage change between patients with preassessment and those without (p=0.006). Conclusions. Face-to-face preassessment appears to improve the quality of bowel preparation and aids in minimizing the risk of renal injury in patients with CKD.http://dx.doi.org/10.1155/2016/7591637 |
| spellingShingle | Hari Padmanabhan Alexander Rothnie Andy Higgins Amandeep Grewal Katherine Arndtz Alan. M. Nevill Matthew. J. Brookes Ray Mathew Preassessment Interview Improves the Efficacy and Safety of Bowel Preparation for Colonoscopy Canadian Journal of Gastroenterology and Hepatology |
| title | Preassessment Interview Improves the Efficacy and Safety of Bowel Preparation for Colonoscopy |
| title_full | Preassessment Interview Improves the Efficacy and Safety of Bowel Preparation for Colonoscopy |
| title_fullStr | Preassessment Interview Improves the Efficacy and Safety of Bowel Preparation for Colonoscopy |
| title_full_unstemmed | Preassessment Interview Improves the Efficacy and Safety of Bowel Preparation for Colonoscopy |
| title_short | Preassessment Interview Improves the Efficacy and Safety of Bowel Preparation for Colonoscopy |
| title_sort | preassessment interview improves the efficacy and safety of bowel preparation for colonoscopy |
| url | http://dx.doi.org/10.1155/2016/7591637 |
| work_keys_str_mv | AT haripadmanabhan preassessmentinterviewimprovestheefficacyandsafetyofbowelpreparationforcolonoscopy AT alexanderrothnie preassessmentinterviewimprovestheefficacyandsafetyofbowelpreparationforcolonoscopy AT andyhiggins preassessmentinterviewimprovestheefficacyandsafetyofbowelpreparationforcolonoscopy AT amandeepgrewal preassessmentinterviewimprovestheefficacyandsafetyofbowelpreparationforcolonoscopy AT katherinearndtz preassessmentinterviewimprovestheefficacyandsafetyofbowelpreparationforcolonoscopy AT alanmnevill preassessmentinterviewimprovestheefficacyandsafetyofbowelpreparationforcolonoscopy AT matthewjbrookes preassessmentinterviewimprovestheefficacyandsafetyofbowelpreparationforcolonoscopy AT raymathew preassessmentinterviewimprovestheefficacyandsafetyofbowelpreparationforcolonoscopy |