• Minerva anestesiologica · Nov 2017

    Observational Study

    Quality of recovery after gastroscopy, colonoscopy, or both endoscopic procedures: an observational pilot study.

    • Aiden M Brumby, Johan Heiberg, Cindy Te, and Colin F Royse.
    • Department of Anesthesia and Pain Management, Royal Melbourne Hospital, Parkville, Australia.
    • Minerva Anestesiol. 2017 Nov 1; 83 (11): 1161-1168.

    BackgroundGastroscopy and colonoscopy are procedures with low complication rates and patients are usually discharged few hours after the procedures. Nevertheless, postoperative cognitive decline is a common condition, is often missed, and can potentially affect patients' ability to drive and undertake other daily living activities. The primary aim was to assess the incidence of failure to recover at Day 1 after either colonoscopy, gastroscopy, or both procedures combined.MethodsIn an observational pilot study, participants of 18 years or above undergoing endoscopy procedures, including colonoscopy (reference group), gastroscopy, or both, were included. Postoperative quality of recovery was measured over a 1-month period using the "Postoperative Quality of Recovery Scale" assessing recovery in five subdomains.ResultsIn total, 102 participants were enrolled, comprised of 53 colonoscopy participants, 28 gastroscopy participants, and 21 "combined" participants. At Day 1, overall recovery in the colonoscopy group was 57%, compared to 45% in the gastroscopy group with an odds ratio of 1.6 (95% CI 0.5-4.9) and 40% in the "combined" group with an odds ratio of 2.0 (95% CI 0.6-6.9). Failure to recover was mainly due to failure in nociceptive and cognitive recovery at Day 1, which were 76% and 79% for colonoscopy participants, respectively, 61% and 84% for gastroscopy participants, compared with 63% and 60% for the "combined" group, respectively.ConclusionsThis study showed that incomplete recovery is common past discharge after gastroscopy, colonoscopy, or both procedures and the study demonstrated modest but clinically important differences in early quality of recovery between the procedures.

      Pubmed     Free full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…

Want more great medical articles?

Keep up to date with a free trial of metajournal, personalized for your practice.
1,704,841 articles already indexed!

We guarantee your privacy. Your email address will not be shared.