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Updated: Jul 8, 2026
06:28
E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Bowel preparation effectiveness: inpatients and outpatients
Elnora Anderson1, Joy Don Baker
1Plaza Medical Center, Fort Worth, Texas 76104, USA. Elnora.Anderson@HCAhealthcare.com
Summary
Outpatient and inpatient colonoscopy preparations showed similar colon visibility. Some preparation solutions were linked to increased nausea or vomiting, prompting a review of documentation practices.
Area of Science:
- Gastroenterology
- Clinical Medicine
- Patient Care
Background:
- Colonoscopy preparation is crucial for effective visualization.
- Patient-administered outpatient preparation and hospital-administered inpatient preparation are common methods.
- Variations in preparation methods may impact procedure outcomes and patient experience.
Purpose of the Study:
- To compare colon visibility between outpatient self-administered and inpatient hospital-administered colonoscopy preparations.
- To identify any differences in patient-reported symptoms, such as nausea or vomiting, associated with preparation types.
- To assess the overall effectiveness and patient experience of different colonoscopy preparation protocols.
Main Methods:
- A convenience sample of 120 adult patients undergoing colonoscopy was recruited.
- A 33-item questionnaire collected data on demographics, preparation type, symptoms, and colon visualization scores.
- Colon visualization scores were analyzed to compare the two preparation settings.
Main Results:
- No significant difference in colon visualization scores was found between outpatient and inpatient preparation groups.
- Certain preparation solutions were associated with a slightly higher incidence of nausea or vomiting.
- An opportunity for improvement in nursing documentation related to bowel preparation was identified.
Conclusions:
- Both outpatient self-administered and inpatient hospital-administered colonoscopy preparations yield comparable colon visibility.
- Clinicians should be aware of potential side effects like nausea and vomiting associated with specific preparation agents.
- Enhancing documentation practices for colonoscopy preparation is recommended to improve patient care and data quality.
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