TY - JOUR
T1 - Effect of functional status on the quality of bowel preparation in elderly patients undergoing screening and surveillance colonoscopy
AU - Kumar, Akash
AU - Lin, Lisa
AU - Bernheim, Oren
AU - Bagiella, Emilia
AU - Jandorf, Lina
AU - Itzkowitz, Steven H.
AU - Shah, Brijen J.
PY - 2016/7
Y1 - 2016/7
N2 - Background/Aims: Optimal bowel preparation is essential for successful screening or for surveillance colonoscopy (SC). Inadequate bowel preparation is associated with older age, the male gender, and the presence of certain comorbidities. However, the association between patients' functional status and bowel preparation quality has not been studied. We prospectively examined the relationship between functional status, namely, the ability to perform activities of daily living (ADLs) and ambulate, and the quality of bowel preparation in elderly patients undergoing SC. Methods: Before undergoing SC, 88 elderly patients were surveyed regarding their functional status, specifically regarding their ability to perform ADLs and ambulate a quarter of a mile. Gastroenterologists then determined the quality of the bowel preparation, which was classified as either adequate or inadequate. Then, the frequency of inadequate bowel preparation in patients who did or did not experience difficulty performing ADLs and ambulating was calculated. Results: Difficulty ambulating (unadjusted odds ratio [OR], 4.83; p<0.001), difficulty performing ADLs (OR, 2.93; p=0.001), and history of diabetes (OR, 2.88; p=0.007) were significant univariate predictors of inadequate bowel preparation. After adjusting for the above variables, only difficulty ambulating (adjusted OR, 5.78; p=0.004) was an independent predictor of inadequate bowel preparation. Conclusions: Difficulty with ambulation is a strong predictor of inadequate bowel preparation in elderly patients undergoing SC.
AB - Background/Aims: Optimal bowel preparation is essential for successful screening or for surveillance colonoscopy (SC). Inadequate bowel preparation is associated with older age, the male gender, and the presence of certain comorbidities. However, the association between patients' functional status and bowel preparation quality has not been studied. We prospectively examined the relationship between functional status, namely, the ability to perform activities of daily living (ADLs) and ambulate, and the quality of bowel preparation in elderly patients undergoing SC. Methods: Before undergoing SC, 88 elderly patients were surveyed regarding their functional status, specifically regarding their ability to perform ADLs and ambulate a quarter of a mile. Gastroenterologists then determined the quality of the bowel preparation, which was classified as either adequate or inadequate. Then, the frequency of inadequate bowel preparation in patients who did or did not experience difficulty performing ADLs and ambulating was calculated. Results: Difficulty ambulating (unadjusted odds ratio [OR], 4.83; p<0.001), difficulty performing ADLs (OR, 2.93; p=0.001), and history of diabetes (OR, 2.88; p=0.007) were significant univariate predictors of inadequate bowel preparation. After adjusting for the above variables, only difficulty ambulating (adjusted OR, 5.78; p=0.004) was an independent predictor of inadequate bowel preparation. Conclusions: Difficulty with ambulation is a strong predictor of inadequate bowel preparation in elderly patients undergoing SC.
KW - Bowel preparation
KW - Colonoscopy
KW - Geriatric
KW - Practice improvement
UR - http://www.scopus.com/inward/record.url?scp=84978523908&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84978523908&partnerID=8YFLogxK
U2 - 10.5009/gnl15230
DO - 10.5009/gnl15230
M3 - Article
C2 - 27021501
AN - SCOPUS:84978523908
SN - 1976-2283
VL - 10
SP - 569
EP - 573
JO - Gut and Liver
JF - Gut and Liver
IS - 4
ER -