Risk Factors Associated With Painful Colonoscopy
Conditions
Brief summary
Some patients felt no pain or only mild discomfort with the unsedated colonoscopy. However, unsedated colonoscopy was thought to be an option for some but not for all. If we could able to identify which patients at high risk for painful colonoscopy in preoperational stage, targeted administration of sedatives or special techniques to these patients would be an attractive option.
Detailed description
Here we prospectively collected the data during colonoscopy and investigated the possible risk factors associated with painful colonoscopy by using a step-wise multivariate regression model. Furthermore we developed a novel point score to predict whether the patients at high risk for painful colonoscopy and targeted offer an appropriate method of colonoscopy or with the aid of special techniques to help the completion of procedure.
Interventions
None listed
Sponsors
Air Force Military Medical University, China
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* patients who underwent unsedated colonoscopy
Exclusion criteria
* (1) no bowel preparation or colon cleansing by enema only; (2) no need to reach cecum; (3) prior finding of severe colon stenosis or obstructing tumor; (4) history of colectomy; (5) unstable hemodynamics; (6) pregnant; (7) unable to give informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The anxiety status | 1 year | Hospital Anxiety and Depression Scale (HAD) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Abdominal pain | 1 year | Abdominal pain evaluated by a previously validated 4-point verbal rating scale (no, slight, moderate, severe pain) |
Countries
China
Outcome results
None listed