Document Detail

Factors associated with tolerance to, and discomfort with, unsedated diagnostic gastroscopy.
MedLine Citation:
PMID:  11761029     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Identification of patients likely to experience high levels of discomfort during unsedated gastroscopy would be useful as these patients could be prospectively targeted for sedation. We prospectively assessed patient and endoscopic variables in subjects attending for endoscopy in order to identify factors associated with patients' experience of the unsedated examination. METHODS: We studied 508 patients attending for routine diagnostic gastroscopy. Clinical and endoscopic data were collected and patients completed a two-part questionnaire assessing their anxiety with, and experience of, the procedure. RESULTS: Thirty-nine subjects failed to complete the initial unsedated endoscopy. Failure to tolerate endoscopy was associated with younger age (P = 0.002) and examination with a standard-bore (> or = 9.0 mm) endoscope (P = 0.004). High levels of patient discomfort during the procedure were associated with younger age (P < 0.001), high levels of pre-endoscopic anxiety (P < 0.001), high levels of pre-endoscopic discomfort due to throat spray (P = 0.02) and examination with a standard-bore endoscope (P < 0.001). Preference for sedation during future examinations was related to female gender (P = 0.02), young age (P = 0.02), high levels of apprehension (P < 0.001), the examining doctor (P = 0.002) and use of a standard-bore endoscope (P < 0.001). CONCLUSIONS: Discrete clinical characteristics and endoscopic variables are associated with patients' experience of unsedated endoscopy. Further work might result in an algorithm for identifying patients who would benefit from sedation prior to gastroscopy.
H E Mulcahy; P Kelly; M R Banks; P Connor; S E Patchet; M J Farthing; P D Fairclough; P J Kumar
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scandinavian journal of gastroenterology     Volume:  36     ISSN:  0036-5521     ISO Abbreviation:  Scand. J. Gastroenterol.     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2001-12-11     Completed Date:  2002-02-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0060105     Medline TA:  Scand J Gastroenterol     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  1352-7     Citation Subset:  IM    
Dept. of Gastroenterology, Homerton Hospital, London, UK.
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MeSH Terms
Age Factors
Hypnotics and Sedatives*
Middle Aged
Patient Acceptance of Health Care
Patient Satisfaction
Patient Selection
Prospective Studies
Regression Analysis
Sex Factors
Reg. No./Substance:
0/Hypnotics and Sedatives

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