An algorithm-based active cleansing protocol can reduce the bowel preparation time for screening colonoscopy: A propensity score matching study.

IF 1.9 4区医学 Q3 GASTROENTEROLOGY & HEPATOLOGY

Saudi Journal of Gastroenterology Pub Date : 2024-01-01 Epub Date: 2023-07-19 DOI:10.4103/sjg.sjg_176_23

Fumiaki Ishibashi, Sho Suzuki, Ryu Tanaka, Konomi Kobayashi, Tomohiro Kawakami, Mizuki Nagai, Kentaro Mochida, Tetsuo Morishita

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引用次数: 0

Abstract

Background: Methods that minimize the time for on-site bowel preparation before colonoscopy are needed. We prospectively validated that a novel algorithm-based active cleansing (ABAC) protocol could reduce the time for preparation compared with the conventional method.

Methods: This was an open-label, multicenter, prospective comparative study from April to October 2021. The study compared the bowel preparation time for colonoscopy between patients instructed with the ABAC protocol and control groups. Patients in the ABAC protocol group as well as the control group were administered 2000 mL of polyethylene glycol (PEG) within 2 hours. After the first two hours, patients in the protocol group voluntarily took 300 ml of the solution without the instruction of nursing staff depending on the number of defecations in the first 2 hours. The intervention and control groups were adjusted for background characteristics by propensity score matching (PSM).

Results: After adjustment by PSM, 174 patients in each of the two groups were included in the final analysis. In the intention-to-treat analysis, the preparation time was significantly shorter in the intervention group than that in the control group (126.3 ± 32.7 min vs. 144.9 ± 39.9 min, P = 0.018). The proportion of additional PEG intake was significantly higher in the intervention group (16 [9.2%] vs. 6 [3.4%], P = 0.047). The number of defecations was also higher in the intervention group than in the control group (7.8 ± 2.5 vs. 6.3 ± 2.2, P = 0.001).

Conclusions: Simple active instruction protocol is effective to reduce on-site bowel preparation time and nursing staff labor for colonoscopy.

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基于算法的主动清洁方案可缩短结肠镜筛查的肠道准备时间：倾向得分匹配研究

背景：需要尽量缩短结肠镜检查前现场肠道准备时间的方法。我们通过前瞻性研究验证了与传统方法相比，基于算法的新型主动清洁（ABAC）方案可缩短肠道准备时间：这是一项开放标签、多中心、前瞻性比较研究，研究时间为 2021 年 4 月至 10 月。该研究比较了接受 ABAC 方案指导的患者和对照组的结肠镜检查肠道准备时间。ABAC 方案组和对照组患者均在 2 小时内注射 2000 毫升聚乙二醇 (PEG)。头两小时后，方案组患者根据头两小时的排便次数，在没有护理人员指导的情况下自愿服用 300 毫升溶液。通过倾向得分匹配（PSM）对干预组和对照组的背景特征进行了调整：经倾向得分匹配调整后，两组各有 174 名患者纳入最终分析。在意向治疗分析中，干预组的准备时间明显短于对照组（126.3 ± 32.7 分钟 vs. 144.9 ± 39.9 分钟，P = 0.018）。干预组额外摄入 PEG 的比例明显高于对照组（16 [9.2%] vs. 6 [3.4%]，P = 0.047）。干预组的排便次数也高于对照组（7.8 ± 2.5 vs. 6.3 ± 2.2，P = 0.001）：简单的主动指导方案可有效减少结肠镜检查的现场肠道准备时间和护理人员的劳动量。

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

Saudi Journal of Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

4.40

自引率

3.70%

发文量

审稿时长

28 weeks

期刊介绍： The Saudi Journal of Gastroenterology (SJG) is an open access peer-reviewed publication. Authors are invited to submit articles in the field of gastroenterology, hepatology and nutrition, with a wide spectrum of coverage including basic science, epidemiology, diagnostics, therapeutics, public health, and standards of health care in relation to the concerned specialty. Review articles are usually by invitation. However review articles of current interest and a high standard of scientific value could also be considered for publication.