Liječnički vjesnik, Vol. 137 No. 5-6, 2015.
Izvorni znanstveni članak
PREDICTORS OF POOR BOWEL PREPARATION FOR COLONOSCOPY: A SINGLE-CENTRE PROSPECTIVE STUDY
Jadranka Brljak
Hrvoje Iveković
Branko Bilić
Ivana Kovačić
Pave Markoš
Tomislav Brkić
Rajko Ostojić
Nadan Rustemović
Sažetak
Adequate bowel preparation is the key of a successful colonoscopy. The aim of the study was to analyze sociodemographic and clinical characteristics in our population of patients referred for colonoscopy. Bowel cleanness was evaluated using the Boston Bowel Preparation Scale (BBPS) where values ³7 were considered a criterion of successful bowel preparation. The study involved 286 subjects (61.5% male, median 61 years, interquartile range 50 – 71). BBPS score ³7 was found in 145 subjects (50.7%). Multivariate analysis indicated that subjects with severe comorbidity (ASA status ³3, OR = 0,29; 95% CI: 0,12 – 0,72; p = 0,008) represented a risk factor for poor bowel preparation. Regimens with polyethylene-glycol (PEG) were superior compared with other protocols (OR = 2.54; 95% CI: 1.27 – 5.10; p = 0.008). Timing of the colonoscopy also contributed to better bowel preparation (OR = 5.50; 95% CI: 2.07 – 14.67; p = 0.001). This study confirms that presence of comorbidity and non-use of PEG regimens are predictors of poor bowel preparation in our population of patients referred for colonoscopy
Ključne riječi
Colonoscopy – standards, methods; Colorectal neoplasms – diagnosis; Cathartics – administration and dosage; Polyethylene glycols – administration and dosage; Quality indicators, health care; Prospective studies
Hrčak ID:
172701
URI
Datum izdavanja:
30.6.2015.
Posjeta: 6.527 *