• Medicine · Apr 2024

    Investigation of factors that may potentially affect anxiety in patients undergoing esophagogastroduodenoscopy and evaluation of sedation effect.

    • Burak Uçaner, Mehmet Zeki Buldanli, Şebnem Çimen, Mehmet Sabri Çiftçi, Mehmet Mert Demircioğlu, Ela Erten, and Oğuz Hançerlioğullari.
    • Department of General Surgery, University of Health Sciences, Gülhane Training and Research Hospital, Ankara, Turkey.
    • Medicine (Baltimore). 2024 Apr 12; 103 (15): e37801e37801.

    BackgroundAs with any other invasive procedure, esophagogastroduodenoscopy (EGD) may lead to considerable anxiety in patients. This study aimed to investigate and compare the effects of sedated and non-sedated procedures on anxiety in patients undergoing EGD and to better recognize patient groups at risk for anxiety.MethodsIn this prospective and 2-armed designed study, demographic data, including age, gender, comorbidities, height, weight, body mass index (BMI), and educational background, were collected. In this study, the Beck Anxiety Inventory (BAI) was administered to each patient before they were brought to the endoscopy unit. Subsequently, each patient who underwent EGD was telephoned on the seventh day after the procedure and the BAI was administered a second time.ResultsWomen population had higher pre-EGD and post-EGD BAI scores compared to men. No significant correlation was observed between educational background and BAI scores. Possible correlations between age, BMI, Charlson comorbidity index (CCI), and BAI scores were examined. There was a weak correlation between BMI and pre-EGD and post-EGD BAI scores. A strong and positive correlation was observed between the pre-EGD BAI score and post-EGD BAI and difference in BAI scores between groups (ΔBAI).ConclusionEndoscopic procedures may cause anxiety in patients as with all other invasive procedures. Patients' compliance with the procedure and having a lower level of anxiety are very significant for diagnostic and, if necessary, therapeutic success. In this study, the patient gender was evaluated as a predictor of anxiety level, whereas educational background was not a predictor.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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