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Age Is the Only Predictor of Poor Bowel Preparation in the Hospitalized Patient

We examine the impact of key variables on the likelihood of inpatient poor bowel preparation for colonoscopy. Records of inpatients that underwent colonoscopy at our institution between January 2010 and December 2011 were retrospectively extracted. Univariable and multivariable logistic regression m...

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Autores principales: McNabb-Baltar, Julia, Dorreen, Alastair, Al Dhahab, Hisham, Fein, Michael, Xiong, Xin, O' Byrne, Mike, Ait, Imene, Martel, Myriam, Barkun, Alan N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4904653/
https://www.ncbi.nlm.nih.gov/pubmed/27446828
http://dx.doi.org/10.1155/2016/2139264
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author McNabb-Baltar, Julia
Dorreen, Alastair
Al Dhahab, Hisham
Fein, Michael
Xiong, Xin
O' Byrne, Mike
Ait, Imene
Martel, Myriam
Barkun, Alan N.
author_facet McNabb-Baltar, Julia
Dorreen, Alastair
Al Dhahab, Hisham
Fein, Michael
Xiong, Xin
O' Byrne, Mike
Ait, Imene
Martel, Myriam
Barkun, Alan N.
author_sort McNabb-Baltar, Julia
collection PubMed
description We examine the impact of key variables on the likelihood of inpatient poor bowel preparation for colonoscopy. Records of inpatients that underwent colonoscopy at our institution between January 2010 and December 2011 were retrospectively extracted. Univariable and multivariable logistic regression models were fitted to assess the effect of clinical variables on the odds of poor preparation. Tested predictors included age; gender; use of narcotics; heavy medication burden; comorbidities; history of previous abdominal surgery; neurological disorder; product used for bowel preparation, whether or not the bowel regimen was given as split or standard dose; and time of endoscopy. Overall, 244 patients were assessed including 83 (34.0%, 95% CI: 28.1–39.9%) with poor bowel preparation. Cecal intubation was achieved in 81.1% of patients (95% CI: 76.2–86.0%). When stratified by quality of bowel preparation, cecal intubation was achieved in only 65.9% (95% CI: 60.0–71.9%) of patients with poor bowel preparation and 89.9% (95% CI: 86.1–93.7%) of patient with good bowel preparation. In multivariate logistic regression analysis, only advancing age was an independent predictor of poor bowel preparation (OR = 1.026, CI: 1.006 to 1.045, and p = 0.008). Age is the only independent predictor of poor bowel preparation amongst hospitalized patients.
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spelling pubmed-49046532016-06-30 Age Is the Only Predictor of Poor Bowel Preparation in the Hospitalized Patient McNabb-Baltar, Julia Dorreen, Alastair Al Dhahab, Hisham Fein, Michael Xiong, Xin O' Byrne, Mike Ait, Imene Martel, Myriam Barkun, Alan N. Can J Gastroenterol Hepatol Research Article We examine the impact of key variables on the likelihood of inpatient poor bowel preparation for colonoscopy. Records of inpatients that underwent colonoscopy at our institution between January 2010 and December 2011 were retrospectively extracted. Univariable and multivariable logistic regression models were fitted to assess the effect of clinical variables on the odds of poor preparation. Tested predictors included age; gender; use of narcotics; heavy medication burden; comorbidities; history of previous abdominal surgery; neurological disorder; product used for bowel preparation, whether or not the bowel regimen was given as split or standard dose; and time of endoscopy. Overall, 244 patients were assessed including 83 (34.0%, 95% CI: 28.1–39.9%) with poor bowel preparation. Cecal intubation was achieved in 81.1% of patients (95% CI: 76.2–86.0%). When stratified by quality of bowel preparation, cecal intubation was achieved in only 65.9% (95% CI: 60.0–71.9%) of patients with poor bowel preparation and 89.9% (95% CI: 86.1–93.7%) of patient with good bowel preparation. In multivariate logistic regression analysis, only advancing age was an independent predictor of poor bowel preparation (OR = 1.026, CI: 1.006 to 1.045, and p = 0.008). Age is the only independent predictor of poor bowel preparation amongst hospitalized patients. Hindawi Publishing Corporation 2016 2016-04-20 /pmc/articles/PMC4904653/ /pubmed/27446828 http://dx.doi.org/10.1155/2016/2139264 Text en Copyright © 2016 Julia McNabb-Baltar et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
McNabb-Baltar, Julia
Dorreen, Alastair
Al Dhahab, Hisham
Fein, Michael
Xiong, Xin
O' Byrne, Mike
Ait, Imene
Martel, Myriam
Barkun, Alan N.
Age Is the Only Predictor of Poor Bowel Preparation in the Hospitalized Patient
title Age Is the Only Predictor of Poor Bowel Preparation in the Hospitalized Patient
title_full Age Is the Only Predictor of Poor Bowel Preparation in the Hospitalized Patient
title_fullStr Age Is the Only Predictor of Poor Bowel Preparation in the Hospitalized Patient
title_full_unstemmed Age Is the Only Predictor of Poor Bowel Preparation in the Hospitalized Patient
title_short Age Is the Only Predictor of Poor Bowel Preparation in the Hospitalized Patient
title_sort age is the only predictor of poor bowel preparation in the hospitalized patient
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4904653/
https://www.ncbi.nlm.nih.gov/pubmed/27446828
http://dx.doi.org/10.1155/2016/2139264
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