Predictors of Delayed Recovery in Ambulatory Advanced Endoscopic Procedures

IF 1.5 Q4 GASTROENTEROLOGY & HEPATOLOGY

DEN open Pub Date : 2025-09-08 DOI:10.1002/deo2.70200

Zoilo K. Suarez, Alexandria Lenyo, Philip M. Frasse, Derek J. Platt, Thomas Hollander, Talwinder Nagi, Michael DeDonno, Vladimir Kushnir, Juan Reyes Genere

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Abstract

Background

There is a scarcity of data evaluating patient-related outcomes of advanced or complex endoscopy (ACE) through the post-anesthesia recovery course. Yet, gastrointestinal distress following ACE can occur commonly, and this may impact recovery length of stay and the approach to post-anesthesia care. This study aimed to describe post-procedural symptoms in patients undergoing ACE and identify factors that influence recovery time and course.

Methods

We retrospectively reviewed a prospectively collected database of patients who underwent ambulatory ACE. Procedural-related symptoms, recovery time, dismissal rate, and adverse events (AE) were recorded. Factors associated with extended recovery time were analyzed using multiple regression analysis. Secondary outcomes included unplanned hospitalization rate and AEs.

Results

A total of 172 patients were included, with a mean age of 62.77 years (standard deviation 14.176). 64 patients (37.2%) had an extended recovery time. Abdominal pain and nausea were the most common symptoms associated with extended recovery. Female sex, longer procedure duration, and higher post-procedural pain scores at 30 min were significantly associated with extended recovery (p < 0.05). The procedural-related AE rate was 5.8%, and the overall unplanned hospitalization rate was 3.5%.

Conclusions

Procedural-related symptoms following ACE are common, and female sex, duration of procedure, and post-procedural pain score at 30 min are predictive of length of stay. These data provide insight into optimizing the approach to post-procedure care in ACE.

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动态高级内窥镜手术延迟恢复的预测因素

背景目前缺乏评估晚期或复杂内窥镜（ACE）患者在麻醉后恢复过程中的相关结果的数据。然而，ACE术后的胃肠窘迫通常会发生，这可能会影响恢复时间和麻醉后护理的方法。本研究旨在描述ACE患者的术后症状，并确定影响恢复时间和病程的因素。方法回顾性回顾前瞻性收集的门诊ACE患者数据库。记录手术相关症状、恢复时间、出院率和不良事件（AE）。采用多元回归分析影响恢复时间延长的因素。次要结局包括意外住院率和ae。结果共纳入172例患者，平均年龄62.77岁（标准差14.176）。64例（37.2%）患者恢复时间延长。腹痛和恶心是延长恢复期最常见的症状。女性、较长的手术时间和较高的手术后30分钟疼痛评分与延长恢复时间显著相关（p < 0.05）。手术相关的AE发生率为5.8%，总体计划外住院率为3.5%。结论：ACE术后手术相关症状很常见，女性、手术时间和术后30分钟疼痛评分可预测住院时间。这些数据为优化ACE的术后护理方法提供了见解。

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

DEN open

CiteScore

1.30

自引率

0.00%

发文量