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Patient attitudes to sedation for diagnostic upper endoscopy
1Dept. of Surgery, University of Lund, Sweden.
Scandinavian Journal of Gastroenterology
|October 1, 1991
Summary
Most patients undergoing upper gastrointestinal endoscopy do not want sedation, preferring a normal afternoon. Sedation is more desired by younger women, who may benefit most from it.
Area of Science:
- Gastroenterology
- Patient Experience
- Medical Procedures
Background:
- Sedation practices for upper gastrointestinal endoscopy vary globally.
- Patient attitudes and factors influencing discomfort during endoscopy are poorly understood.
Purpose of the Study:
- To investigate patient attitudes towards sedation during diagnostic upper GI endoscopy.
- To identify factors influencing patient discomfort and sedation preference.
Main Methods:
- A survey of 1169 ambulatory patients scheduled for upper GI endoscopy.
- Patients were surveyed one week prior regarding sedation preferences and reasons.
- Analysis correlated demographics and prior experience with sedation desire and discomfort levels.
Main Results:
- Only 34.1% of patients desired sedation; the majority preferred no sedation.
- Fear of diagnosis (54.2%) and procedure (45.8%) were key reasons for wanting sedation.
- Younger age and male sex were associated with lower sedation preference.
- Discomfort was negatively correlated with age and positively correlated with female sex and lack of prior endoscopy experience.
Conclusions:
- The majority of patients prefer to avoid sedation for upper GI endoscopy.
- Young women with no prior endoscopy experience may benefit most from sedation.
- Patient preference and individual factors significantly influence sedation decisions.