Patient-Reported Quality of Recovery after Sedation for Endoscopy in the Elderly.

IF 3.1 3区医学 Q3 GERIATRICS & GERONTOLOGY Gerontology Pub Date : 2024-01-01 Epub Date: 2024-02-05 DOI:10.1159/000536647

Dana Yahav-Shafir, Dina Orkin, Guy Zahavi, Inna Epstein, Moshe Nadler, Haim Berkenstadt

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Abstract

Introduction: Although sedation is critical in minimizing discomforts in patients, conflicting data regarding the safety of sedation among the elderly population exist. This prospective study aimed to compare the quality of recovery (QoR) from gastrointestinal endoscopy performed under sedation between elderly and younger patients.

Methods: We included 177 patients aged 40-64 (group 1, n = 66), 65-79 (group 2, n = 76), and ≥80 (group 3, n = 35) years. QoR was assessed 1 day after the procedure using the quality of recovery 15 (QoR-15) questionnaire, which is a 15-item questionnaire with scores ranging from 0 to 150. Patient demographic, procedural, and sedation data were collected, and neurocognitive function was assessed before and a day after sedation.

Results: Groups 1 and 3 differed according to the Mini-Cog test and 3-word memory test performed before the procedure (p < 0.001). QoR-15 scores between groups were not different (139 ± 19 group 1, 141 ± 17 group 2, and 147 ± 26 group 3; p > 0.05). Patients in groups 3 and 2 were administered lower doses of propofol and midazolam than those in group 1. The incidence of oxygen desaturation (SaO2 <90% for >30 s) was lower in groups 1 and 2 than in group 3 (p = 0.01).

Conclusions: As indicated by the QoR-15 questionnaire, the QoR from sedation was not significantly different between the study groups.

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老年人内窥镜检查镇静后患者对恢复质量的报告。

简介：尽管镇静对减少患者的不适感至关重要，但有关老年人镇静安全性的数据却相互矛盾：尽管镇静对于减少患者的不适感至关重要，但有关老年人镇静安全性的数据却相互矛盾：这项前瞻性研究旨在比较老年患者和年轻患者在镇静状态下进行消化内镜检查后的恢复质量（QoR）：我们纳入了 177 名患者，年龄分别为 40-64 岁（第 1 组，n = 66）、65-79 岁（第 2 组，n = 76）和≥80 岁（第 3 组，n = 35）。术后一天使用 QoR 15（QoR-15）问卷对 QoR 进行评估，该问卷由 15 个项目组成，分值范围为 0-150。收集了患者的人口统计学、手术和镇静数据，并在镇静前和镇静后一天评估了神经认知功能：第 1 组和第 3 组在镇静前和镇静后进行的 Mini-Cog 测试和 3 个单词记忆测试结果不同（P < 0.001）。各组之间的 QoR-15 分数没有差异（第一组为 139 ± 19，第二组为 141 ± 17，第三组为 147 ± 26；P > 0.05）。第 1 组和第 2 组的低氧血症发生率（SaO2 60 秒）低于第 3 组（P = 0.01）：正如 QoR-15 问卷所显示的，各研究组的镇静术后恢复质量没有明显差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gerontology 医学-老年医学

CiteScore

6.00

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： In view of the ever-increasing fraction of elderly people, understanding the mechanisms of aging and age-related diseases has become a matter of urgent necessity. ''Gerontology'', the oldest journal in the field, responds to this need by drawing topical contributions from multiple disciplines to support the fundamental goals of extending active life and enhancing its quality. The range of papers is classified into four sections. In the Clinical Section, the aetiology, pathogenesis, prevention and treatment of agerelated diseases are discussed from a gerontological rather than a geriatric viewpoint. The Experimental Section contains up-to-date contributions from basic gerontological research. Papers dealing with behavioural development and related topics are placed in the Behavioural Science Section. Basic aspects of regeneration in different experimental biological systems as well as in the context of medical applications are dealt with in a special section that also contains information on technological advances for the elderly. Providing a primary source of high-quality papers covering all aspects of aging in humans and animals, ''Gerontology'' serves as an ideal information tool for all readers interested in the topic of aging from a broad perspective.