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Bronchoalveolar Lavage (BAL) for Research; Obtaining Adequate Sample Yield
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Does "patient-reported discomfort" from bronchoscopy differ over time?

Katie L Pink1, Jacqueline Woolley, Andreea A Ionescu

  • 1Royal Gwent Hospital, Newport, UK.

Journal of Bronchology & Interventional Pulmonology
|December 5, 2012
PubMed
Summary

Patient comfort after bronchoscopy is similar whether assessed immediately or 7-14 days later. Younger patients reported higher discomfort, indicating age influences patient experience during the procedure.

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Area of Science:

  • Pulmonology
  • Patient Experience Research

Background:

  • Optimal timing for assessing patient satisfaction post-bronchoscopy remains unclear.
  • This study investigates patient comfort scores immediately versus 7-14 days after bronchoscopy.

Purpose of the Study:

  • To compare immediate post-bronchoscopy patient comfort scores with those obtained at a later follow-up.
  • To identify factors influencing patient comfort during and after bronchoscopy.

Main Methods:

  • 240 patients undergoing bronchoscopy were enrolled; 180 provided complete data.
  • Patients self-reported discomfort (0-4 scale) immediately post-procedure and at follow-up (7-14 days).
  • Nursing staff also recorded patient comfort and sedation levels.

Main Results:

  • No significant difference was observed between immediate and follow-up patient comfort scores (P=0.79).
  • Nurse-assessed comfort correlated with patient-reported scores at both time points (P<0.01).
  • Younger patients (<60 years) reported significantly higher immediate discomfort (P<0.05), despite receiving lower midazolam doses.

Conclusions:

  • Patient comfort assessment post-bronchoscopy yields similar results whether done immediately or at a later date.
  • Younger age is associated with increased immediate discomfort during bronchoscopy.
  • Nurse assessments of patient comfort align with patient self-reports.