Predictors of inadequate bowel preparation for inpatient colonoscopy

Jawa, Hani; Mosli, Mahmoud; Alsamadani, Wafaa; Saeed, Sundus; Alodaini, Rahaf; Aljahdli, Emad; Bazarah, Salim; Qari, Yousef

doi:10.5152/tjg.2017.17196

Cited by 17 publications

(16 citation statements)

References 9 publications

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“…Successful bowel preparation is essential to ensure safe and effective colonoscopy treatments. This study showed that the overall adequate bowel preparation rate was 56.8% for inpatients in the control group, which was similar to prior research that reported bowel preparation success rates ranging from 56–77% for inpatients (Jawa et al, ; McNabb‐Baltar et al, ; Yadlapati et al, ). Inpatient status was considered an independent risk factor for inadequate bowel preparation.…”

Section: Discussionsupporting

confidence: 89%

Improving the quality of bowel preparation through an app for inpatients undergoing colonoscopy: A randomized controlled trial

Guo

Zuo

et al. 2020

Journal of Advanced Nursing

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Aims To explore whether educational information delivered via a medical smartphone app in conjunction with verbal and written instructions, compared with traditional booklet‐based and verbal instructions, could improve the quality of bowel preparation for hospitalized patients undergoing colonoscopy. Design A prospective, single‐blinded, randomized controlled trial. Methods We performed a prospective, endoscopist‐blinded, randomized, controlled trial at Qilu Hospital of Shandong University in China between October 2017–March 2018. Inpatients who are eligible, based on the inclusion criteria, were randomized into two groups. Both groups received oral and written instructions for bowel preparation. In addition, the smartphone app group received instructions through a medical smartphone app. The primary outcome was the rate of adequate bowel preparation according to the Boston bowel preparation scale score. The secondary outcomes included patient compliance with instructions on how to take laxatives, side effects and rates of adenoma detection. Results A total of 293 patients were enrolled in this study. Demographic characteristics were comparable between the two groups. The χ2 test showed that the medical smartphone app group showed significant improvement in the rate of adequate bowel preparation compared with the control group (77.2% vs. 56.8%, p < .001). The adenoma detection rate (ADR) was significantly higher in the smartphone app group than in the control group (21.4% vs. 12.8%, p = .029) based on the χ2 test. The rates of incomplete compliance with instructions were 15.17% in the smartphone app group and 33.11% in the control group (p < .001) based on the χ2 test. The overall adverse events were 23.45% and 37.84% in the smartphone app and control groups, respectively (p = .008), based on the χ2 test. Conclusion Instructions provided via a mobile social media app in conjunction with traditional verbal and written methods could improve the quality of bowel preparation, increase the ADR and decrease adverse effects. App instructions could be an effective addition to oral and written instructions for inpatients undergoing colonoscopy. Impact This study suggested that clinical personnel could deliver information via smartphone as a powerful addition to traditional educational methods that could improve work efficiency and help patients increase the success rate of bowel preparation. Trial registration: Chinese clinical trial registration number: ChiCTR1900024666.

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Section: Discussionsupporting

confidence: 89%

Improving the quality of bowel preparation through an app for inpatients undergoing colonoscopy: A randomized controlled trial

Guo

Zuo

et al. 2020

Journal of Advanced Nursing

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“…4,5,16,17,18 Advanced age, male sex, being inpatient, polypharmacy, constipation, cirrhosis, diabetes mellitus, Parkinson's disease, stroke, hypertension, previous colorectal surgery are conditions related with inadequate bowel preparation. 16,17,18,21,22 In a prospective study of Hendry et al, 23 including 10571 consecutive patients, inadequate bowel preparation was reported with a ratio of 16.9%. In this study, inadequate bowel preparation and incomplete colonoscopy rates were found to be significantly higher, especially in the inpatient group.…”

Section: Discussionmentioning

confidence: 99%

Compliance with Quality Standards and Causes of Incomplete Colonoscopy: A Prospective Observational Study

Aday¹,

Gündeş²,

Çiyiltepe³

et al. 2019

tjcd

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“…Individual studies ranged in size from 130 to 524 patients with rates of IBP ranging from 22%-57%. [1][2][3] They found IBP to be associated with increasing age, lower income, ASA Grade >3, diabetes, coronary artery disease (CAD), nausea or vomiting, BMI >25, and chronic constipation. Modifiable factors included opiates, afternoon procedures, and runway times >6 hours.…”

Section: Discussionmentioning

confidence: 99%

“…These variables were chosen as biologically plausible modifiers of bowel preparation or had previously been assessed in the literature. [1][2][3][4][5][6] The name and volume, clas-INTRODUCTION: Inadequate bowel preparation (IBP) is a common problem in hospitalized patients; however, little is known about how to prevent IBP. In a large, multihospital system, we evaluated the association between modifiable factors and IBP rate.…”

Section: Potential Predictors Of Ibpmentioning

confidence: 99%

Modifiable Factors Associated with Quality of Bowel Preparation Among Hospitalized Patients Undergoing Colonoscopy

Garber

Sarvepalli

Burke

et al. 2019

Journal of Hospital Medicine

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I nadequate bowel preparation (IBP) at the time of inpatient colonoscopy is common and associated with increased length of stay and cost of care. 1 The factors that contribute to IBP can be categorized into those that are modifiable and those that are nonmodifiable. While many factors have been associated with IBP, studies have been limited by small sample size or have combined inpatient/outpatient populations, thus limiting generalizability. 1-5 Moreover, most factors associated with IBP, such as socioeconomic status, male gender, increased age, and comorbidities, are nonmodifiable. No studies have explicitly focused on modifiable risk factors, such as medication use, colonoscopy timing, or assessed the potential impact of modifying these factors.In a large, multihospital system, we examine the frequency of IBP among inpatients undergoing colonoscopy along with factors associated with IBP. We attempted to identify modifiable risk factors that were associated with IBP.

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Predictors of inadequate bowel preparation for inpatient colonoscopy

Cited by 17 publications

References 9 publications

Improving the quality of bowel preparation through an app for inpatients undergoing colonoscopy: A randomized controlled trial

Improving the quality of bowel preparation through an app for inpatients undergoing colonoscopy: A randomized controlled trial

Compliance with Quality Standards and Causes of Incomplete Colonoscopy: A Prospective Observational Study

Modifiable Factors Associated with Quality of Bowel Preparation Among Hospitalized Patients Undergoing Colonoscopy

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