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Risk Factors for Prolonged Hospital Stay after Endoscopy.
Toshihiro Nishizawa1,2, Shuntaro Yoshida1,3, Osamu Toyoshima1,3
1Gastroenterology, Toyoshima Endoscopy Clinic, Tokyo, Japan.
Clinical Endoscopy
|March 16, 2021
Summary
Older age, female sex, and higher midazolam doses increase the risk of prolonged recovery after endoscopy. Understanding these factors can improve patient flow in endoscopy units.
Area of Science:
- Gastroenterology
- Clinical Medicine
- Patient Outcomes
Background:
- Endoscopy units require efficient patient flow due to limited recovery room capacity.
- Investigating post-procedure hospital stay duration is crucial for optimizing unit efficiency.
Purpose of the Study:
- To determine the duration of hospital stay after outpatient endoscopy.
- To identify risk factors associated with prolonged hospital stay post-endoscopy.
Main Methods:
- Retrospective study of 3,898 patients undergoing esophagogastroduodenoscopy or colonoscopy.
- Data collected included patient demographics, sedation details, and recovery time.
- Multiple logistic regression analysis identified risk factors for prolonged stay (>100 minutes).
Main Results:
- 11.3% of patients experienced prolonged hospital stay (>100 minutes).
- Older age (OR 1.025), female sex (OR 1.657), and midazolam dose (OR 1.019) were independently associated with prolonged stay.
- Sedation significantly increased recovery time compared to non-sedation procedures.
Conclusions:
- Advanced age, female gender, and higher midazolam dosage are significant risk factors for extended recovery.
- These findings aid in predicting and managing patient recovery times, improving endoscopy unit workflow.
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