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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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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. |
format | Online Article Text |
id | pubmed-4904653 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
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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