Canadian Association of Gastroenterology Indicators of Safety Compromise following Colonoscopy in Clinical Practice
In 2012 the Canadian Association of Gastroenterology published 19 indicators of safety compromise. We studied the incidence of these indicators by reviewing all colonoscopies performed in St. John’s, NL, between January 1, 2012, and June 30, 2012. Results. A total of 3235 colonoscopies were included...
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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/10.1155/2016/2729871 |
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| author | Mark R. Borgaonkar David Pace Muna Lougheed Curtis Marcoux Bradley Evans Nikita Hickey Meghan O’Leary Jerry McGrath |
| author_facet | Mark R. Borgaonkar David Pace Muna Lougheed Curtis Marcoux Bradley Evans Nikita Hickey Meghan O’Leary Jerry McGrath |
| author_sort | Mark R. Borgaonkar |
| collection | DOAJ |
| description | In 2012 the Canadian Association of Gastroenterology published 19 indicators of safety compromise. We studied the incidence of these indicators by reviewing all colonoscopies performed in St. John’s, NL, between January 1, 2012, and June 30, 2012. Results. A total of 3235 colonoscopies were included. Adverse events are as follows. Medication-related includes use of reversal agents 0.1%, hypoxia 9.9%, hypotension 15.4%, and hypertension 0.9%. No patients required CPR or experienced allergic reactions or laryngospasm/bronchospasm. The indicator, “sedation dosages in patients older than 70,” showed lower usage of fentanyl and midazolam in elderly patients. Procedure-related immediate includes perforation 0.2%, immediate postpolypectomy bleeding 0.3%, need for hospital admission or transfer to the emergency department 0.1%, and severe persistent abdominal pain proven not to be perforation 0.4%. Instrument impaction was not seen. Procedure-related delayed includes death within 14 days 0.1%, unplanned health care visit within 14 days of the colonoscopy 1.8%, unplanned hospitalization within 14 days of the colonoscopy 0.6%, bleeding within 14 days of colonoscopy 0.2%, infection 0.03%, and metabolic complication 0.03%. Conclusions. The most common adverse events were mild and sedation related. Rates of serious adverse events were in keeping with published reports. |
| format | Article |
| id | doaj-art-d35083d5598b41e9aaafa4f754536cd1 |
| institution | Kabale University |
| 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-d35083d5598b41e9aaafa4f754536cd12025-02-03T05:51:41ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27892291-27972016-01-01201610.1155/2016/27298712729871Canadian Association of Gastroenterology Indicators of Safety Compromise following Colonoscopy in Clinical PracticeMark R. Borgaonkar0David Pace1Muna Lougheed2Curtis Marcoux3Bradley Evans4Nikita Hickey5Meghan O’Leary6Jerry McGrath7Department of Medicine, Memorial University, St. John’s, NL, A1B 3V6, CanadaDepartment of Surgery, Memorial University, St. John’s, NL, A1B 3V6, CanadaFaculty of Medicine, Memorial University, St. John’s, NL, A1B 3V6, CanadaFaculty of Medicine, Memorial University, St. John’s, NL, A1B 3V6, CanadaFaculty of Medicine, Memorial University, St. John’s, NL, A1B 3V6, CanadaDepartment of Surgery, Dalhousie University, Halifax, NS, B3H 4R2, CanadaDepartment of Obstetrics and Gynecology, Queen’s University, Kingston, ON, K7L 3 3N62, CanadaDepartment of Medicine, Memorial University, St. John’s, NL, A1B 3V6, CanadaIn 2012 the Canadian Association of Gastroenterology published 19 indicators of safety compromise. We studied the incidence of these indicators by reviewing all colonoscopies performed in St. John’s, NL, between January 1, 2012, and June 30, 2012. Results. A total of 3235 colonoscopies were included. Adverse events are as follows. Medication-related includes use of reversal agents 0.1%, hypoxia 9.9%, hypotension 15.4%, and hypertension 0.9%. No patients required CPR or experienced allergic reactions or laryngospasm/bronchospasm. The indicator, “sedation dosages in patients older than 70,” showed lower usage of fentanyl and midazolam in elderly patients. Procedure-related immediate includes perforation 0.2%, immediate postpolypectomy bleeding 0.3%, need for hospital admission or transfer to the emergency department 0.1%, and severe persistent abdominal pain proven not to be perforation 0.4%. Instrument impaction was not seen. Procedure-related delayed includes death within 14 days 0.1%, unplanned health care visit within 14 days of the colonoscopy 1.8%, unplanned hospitalization within 14 days of the colonoscopy 0.6%, bleeding within 14 days of colonoscopy 0.2%, infection 0.03%, and metabolic complication 0.03%. Conclusions. The most common adverse events were mild and sedation related. Rates of serious adverse events were in keeping with published reports.http://dx.doi.org/10.1155/2016/2729871 |
| spellingShingle | Mark R. Borgaonkar David Pace Muna Lougheed Curtis Marcoux Bradley Evans Nikita Hickey Meghan O’Leary Jerry McGrath Canadian Association of Gastroenterology Indicators of Safety Compromise following Colonoscopy in Clinical Practice Canadian Journal of Gastroenterology and Hepatology |
| title | Canadian Association of Gastroenterology Indicators of Safety Compromise following Colonoscopy in Clinical Practice |
| title_full | Canadian Association of Gastroenterology Indicators of Safety Compromise following Colonoscopy in Clinical Practice |
| title_fullStr | Canadian Association of Gastroenterology Indicators of Safety Compromise following Colonoscopy in Clinical Practice |
| title_full_unstemmed | Canadian Association of Gastroenterology Indicators of Safety Compromise following Colonoscopy in Clinical Practice |
| title_short | Canadian Association of Gastroenterology Indicators of Safety Compromise following Colonoscopy in Clinical Practice |
| title_sort | canadian association of gastroenterology indicators of safety compromise following colonoscopy in clinical practice |
| url | http://dx.doi.org/10.1155/2016/2729871 |
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