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Room for Quality Improvement in Endoscopist-Directed Sedation: Results from the First Nationwide Survey in Korea
BACKGROUND/AIMS: This study sought to characterize the current sedation practices of Korean endoscopists in real-world settings. METHODS: All active members of the Korean Society of Gastrointestinal Endoscopy were invited to complete an anonymous 35-item questionnaire. RESULTS: The overall response...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Editorial Office of Gut and Liver
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4694739/ https://www.ncbi.nlm.nih.gov/pubmed/26696030 http://dx.doi.org/10.5009/gnl15343 |
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author | Lee, Chang Kyun Dong, Seok Ho Kim, Eun Sun Moon, Sung-Hoon Park, Hong Jun Yang, Dong-Hoon Yoo, Young Chul Lee, Tae Hoon Lee, Sang Kil Hyun, Jong Jin |
author_facet | Lee, Chang Kyun Dong, Seok Ho Kim, Eun Sun Moon, Sung-Hoon Park, Hong Jun Yang, Dong-Hoon Yoo, Young Chul Lee, Tae Hoon Lee, Sang Kil Hyun, Jong Jin |
author_sort | Lee, Chang Kyun |
collection | PubMed |
description | BACKGROUND/AIMS: This study sought to characterize the current sedation practices of Korean endoscopists in real-world settings. METHODS: All active members of the Korean Society of Gastrointestinal Endoscopy were invited to complete an anonymous 35-item questionnaire. RESULTS: The overall response rate was 22.7% (1,332/5,860). Propofol-based sedation was the dominant method used in both elective esophagogastroduodenoscopy (55.6%) and colonoscopy (52.6%). The mean satisfaction score for propofol-based sedation was significantly higher than that for standard sedation in both examinations (all p<0.001). The use of propofol was supervised exclusively by endoscopists (98.6%). Endoscopists practicing in nonacademic settings, gastroenterologists, or endoscopists with <10 years of endoscopic practice were more likely to use propofol than were their counterparts (all p<0.001). In total, 27.3% of all respondents performed sedation practices without having undergone sedation training, and 27.4% did so without any formal sedation protocols. The choice of propofol as the dominant sedation method was the only significant predictor of endoscopist experience with serious sedation-related adverse events (odds ratio, 1.854; 95% confidence interval, 1.414 to 2.432). CONCLUSIONS: Endoscopist-directed propofol administration is the predominant sedation method used in Korea. This survey strongly suggests that there is much room for quality improvement regarding sedation training and patient vigilance in endoscopist-directed sedation. |
format | Online Article Text |
id | pubmed-4694739 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Editorial Office of Gut and Liver |
record_format | MEDLINE/PubMed |
spelling | pubmed-46947392016-01-20 Room for Quality Improvement in Endoscopist-Directed Sedation: Results from the First Nationwide Survey in Korea Lee, Chang Kyun Dong, Seok Ho Kim, Eun Sun Moon, Sung-Hoon Park, Hong Jun Yang, Dong-Hoon Yoo, Young Chul Lee, Tae Hoon Lee, Sang Kil Hyun, Jong Jin Gut Liver Original Article BACKGROUND/AIMS: This study sought to characterize the current sedation practices of Korean endoscopists in real-world settings. METHODS: All active members of the Korean Society of Gastrointestinal Endoscopy were invited to complete an anonymous 35-item questionnaire. RESULTS: The overall response rate was 22.7% (1,332/5,860). Propofol-based sedation was the dominant method used in both elective esophagogastroduodenoscopy (55.6%) and colonoscopy (52.6%). The mean satisfaction score for propofol-based sedation was significantly higher than that for standard sedation in both examinations (all p<0.001). The use of propofol was supervised exclusively by endoscopists (98.6%). Endoscopists practicing in nonacademic settings, gastroenterologists, or endoscopists with <10 years of endoscopic practice were more likely to use propofol than were their counterparts (all p<0.001). In total, 27.3% of all respondents performed sedation practices without having undergone sedation training, and 27.4% did so without any formal sedation protocols. The choice of propofol as the dominant sedation method was the only significant predictor of endoscopist experience with serious sedation-related adverse events (odds ratio, 1.854; 95% confidence interval, 1.414 to 2.432). CONCLUSIONS: Endoscopist-directed propofol administration is the predominant sedation method used in Korea. This survey strongly suggests that there is much room for quality improvement regarding sedation training and patient vigilance in endoscopist-directed sedation. Editorial Office of Gut and Liver 2016-01 2016-01-15 /pmc/articles/PMC4694739/ /pubmed/26696030 http://dx.doi.org/10.5009/gnl15343 Text en Copyright © 2016 by The Korean Society of Gastroenterology, the Korean Society of Gastrointestinal Endoscopy, the Korean Society of Neurogastroenterology and Motility, Korean College of Helicobacter and Upper Gastrointestinal Research, Korean Association the Study of Intestinal Diseases, the Korean Association for the Study of the Liver, Korean Pancreatobiliary Association, and Korean Society of Gastrointestinal Cancer. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Lee, Chang Kyun Dong, Seok Ho Kim, Eun Sun Moon, Sung-Hoon Park, Hong Jun Yang, Dong-Hoon Yoo, Young Chul Lee, Tae Hoon Lee, Sang Kil Hyun, Jong Jin Room for Quality Improvement in Endoscopist-Directed Sedation: Results from the First Nationwide Survey in Korea |
title | Room for Quality Improvement in Endoscopist-Directed Sedation: Results from the First Nationwide Survey in Korea |
title_full | Room for Quality Improvement in Endoscopist-Directed Sedation: Results from the First Nationwide Survey in Korea |
title_fullStr | Room for Quality Improvement in Endoscopist-Directed Sedation: Results from the First Nationwide Survey in Korea |
title_full_unstemmed | Room for Quality Improvement in Endoscopist-Directed Sedation: Results from the First Nationwide Survey in Korea |
title_short | Room for Quality Improvement in Endoscopist-Directed Sedation: Results from the First Nationwide Survey in Korea |
title_sort | room for quality improvement in endoscopist-directed sedation: results from the first nationwide survey in korea |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4694739/ https://www.ncbi.nlm.nih.gov/pubmed/26696030 http://dx.doi.org/10.5009/gnl15343 |
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