Catarina Correia, Nuno Almeida, Raquel Andrade, Mariana Sant'Anna, Cláudia Macedo, David Perdigoto, Carlos Gregório, Pedro Narra Figueiredo
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Two questionnaires were used to assess performance measures and patient satisfaction after EGD.</p><p><strong>Results: </strong>Sedation had a statistically significant impact on most quality indicators, including complete examination (77.2% without sedation vs. 97.8% with sedation), inspection time (6.17 ± 3.45 vs. 8.39 ± 2.67 min), photodocumentation (78% vs. 97.8%), biopsies (39.3% vs. 60.7%), and patient satisfaction (5.42 ± 2.93 vs. 9.1 ± 1.19). The main reason for an incomplete procedure was patient intolerance (82.6%).</p><p><strong>Discussion: </strong>Deep sedation of patients submitted to EGD proved to be a determinant in the applicability of the ESGE/UEG quality indicators. Patient intolerance was eliminated in the group with sedation, enhancing procedure completeness, adequate pathology identification, management, and consequently, the effectiveness of the exam.</p><p><strong>Conclusion: </strong>Sedation administration should be considered in patients undergoing EGD since it ensures a high-quality procedure.</p>","PeriodicalId":51838,"journal":{"name":"GE Portuguese Journal of Gastroenterology","volume":null,"pages":null},"PeriodicalIF":1.0000,"publicationDate":"2023-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11021818/pdf/","citationCount":"0","resultStr":"{\"title\":\"Quality Standards in Upper Gastrointestinal Endoscopy: Can Deep Sedation Influence It?\",\"authors\":\"Catarina Correia, Nuno Almeida, Raquel Andrade, Mariana Sant'Anna, Cláudia Macedo, David Perdigoto, Carlos Gregório, Pedro Narra Figueiredo\",\"doi\":\"10.1159/000528977\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>According to the guideline published by ESGE/UEG, a high-quality esophagogastroduodenoscopy (EGD) implies the application of some criteria that enable better healthcare outcomes. 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引用次数: 0
摘要
导言:根据 ESGE/UEG 发布的指南,高质量的食管胃十二指肠镜检查(EGD)意味着要应用一些标准,以获得更好的医疗效果。虽然术中表现的衡量标准取决于患者的因素,但上述指南中并未提及镇静的做法:本研究旨在评估深度镇静是否会影响 ESGE/UEG 制定的 EGD 性能指标:这是一项前瞻性横断面研究,考虑纳入连续转诊的胃肠造影患者。研究使用了两份问卷来评估胃肠造影术后的表现和患者满意度:结果:镇静对大多数质量指标都有显著影响,包括完整检查(77.2% 未使用镇静剂 vs. 97.8%使用镇静剂)、检查时间(6.17 ± 3.45 vs. 8.39 ± 2.67 分钟)、照片记录(78% vs. 97.8%)、活检(39.3% vs. 60.7%)和患者满意度(5.42 ± 2.93 vs. 9.1 ± 1.19)。未完成手术的主要原因是患者不耐受(82.6%):讨论:事实证明,对接受胃肠造影术的患者进行深度镇静是ESGE/UEG质量指标适用性的一个决定因素。在使用镇静剂的组别中,患者的不耐受现象得以消除,从而提高了手术的完整性、充分的病理识别和管理,进而提高了检查的有效性:结论:接受胃肠造影术的患者应考虑使用镇静剂,因为它能确保手术的高质量。
Quality Standards in Upper Gastrointestinal Endoscopy: Can Deep Sedation Influence It?
Introduction: According to the guideline published by ESGE/UEG, a high-quality esophagogastroduodenoscopy (EGD) implies the application of some criteria that enable better healthcare outcomes. Although intra-procedural performance measures are dependent on patient factors, there is no reference to sedation practices in the guideline mentioned above.
Objective: This study aimed to evaluate whether deep sedation influences EGD performance measures established by ESGE/UEG.
Methods: This was a cross-sectional study, with a prospective enrollment, that considered for inclusion consecutive patients referred for EGD. Two questionnaires were used to assess performance measures and patient satisfaction after EGD.
Results: Sedation had a statistically significant impact on most quality indicators, including complete examination (77.2% without sedation vs. 97.8% with sedation), inspection time (6.17 ± 3.45 vs. 8.39 ± 2.67 min), photodocumentation (78% vs. 97.8%), biopsies (39.3% vs. 60.7%), and patient satisfaction (5.42 ± 2.93 vs. 9.1 ± 1.19). The main reason for an incomplete procedure was patient intolerance (82.6%).
Discussion: Deep sedation of patients submitted to EGD proved to be a determinant in the applicability of the ESGE/UEG quality indicators. Patient intolerance was eliminated in the group with sedation, enhancing procedure completeness, adequate pathology identification, management, and consequently, the effectiveness of the exam.
Conclusion: Sedation administration should be considered in patients undergoing EGD since it ensures a high-quality procedure.
期刊介绍:
The ''GE Portuguese Journal of Gastroenterology'' (formerly Jornal Português de Gastrenterologia), founded in 1994, is the official publication of Sociedade Portuguesa de Gastrenterologia (Portuguese Society of Gastroenterology), Sociedade Portuguesa de Endoscopia Digestiva (Portuguese Society of Digestive Endoscopy) and Associação Portuguesa para o Estudo do Fígado (Portuguese Association for the Study of the Liver). The journal publishes clinical and basic research articles on Gastroenterology, Digestive Endoscopy, Hepatology and related topics. Review articles, clinical case studies, images, letters to the editor and other articles such as recommendations or papers on gastroenterology clinical practice are also considered. Only articles written in English are accepted.