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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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Canadian Journal of Gastroenterology and Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2016/2139264 |
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| author | Julia McNabb-Baltar Alastair Dorreen Hisham Al Dhahab Michael Fein Xin Xiong Mike O’ Byrne Imene Ait Myriam Martel Alan N. Barkun |
| author_facet | Julia McNabb-Baltar Alastair Dorreen Hisham Al Dhahab Michael Fein Xin Xiong Mike O’ Byrne Imene Ait Myriam Martel Alan N. Barkun |
| author_sort | Julia McNabb-Baltar |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-ced0a7aac4014be29aeffd1df36e2dcd |
| institution | OA Journals |
| issn | 2291-2789 2291-2797 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology and Hepatology |
| spelling | doaj-art-ced0a7aac4014be29aeffd1df36e2dcd2025-08-20T02:19:30ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27892291-27972016-01-01201610.1155/2016/21392642139264Age Is the Only Predictor of Poor Bowel Preparation in the Hospitalized PatientJulia McNabb-Baltar0Alastair Dorreen1Hisham Al Dhahab2Michael Fein3Xin Xiong4Mike O’ Byrne5Imene Ait6Myriam Martel7Alan N. Barkun8Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USADivision of Gastroenterology, McGill University, Montreal, QC, CanadaRoyal Hospital, Muscat, OmanDivision of Gastroenterology, McGill University, Montreal, QC, CanadaDivision of Gastroenterology, McGill University, Montreal, QC, CanadaDivision of Gastroenterology, McGill University, Montreal, QC, CanadaDivision of Gastroenterology, McGill University, Montreal, QC, CanadaDivision of Gastroenterology, McGill University, Montreal, QC, CanadaDivision of Gastroenterology, McGill University, Montreal, QC, CanadaWe 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.http://dx.doi.org/10.1155/2016/2139264 |
| spellingShingle | Julia McNabb-Baltar Alastair Dorreen Hisham Al Dhahab Michael Fein Xin Xiong Mike O’ Byrne Imene Ait Myriam Martel Alan N. Barkun Age Is the Only Predictor of Poor Bowel Preparation in the Hospitalized Patient Canadian Journal of Gastroenterology and Hepatology |
| 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 |
| url | http://dx.doi.org/10.1155/2016/2139264 |
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