Observational studySaudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
The incidence of and risk factors for inadequate bowel preparation in elderly patients: A prospective observational study.
Observational study in Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 43 citations in OpenAlex.
- Efficacy and safety of sodium phosphate powder for bowel cleansing in patients aged 50-70 years: a randomised, multicentre, single-blind trial.BMC gastroenterology · 2026Trial
- Clinical application of pre-rehabilitation concept on comfort colonoscopy in Chinese elderly patients: a randomised controlled trial.BMC gastroenterology · 2025Trial
- Evaluation of pH and residual gastric volume after colon preparation with mannitol: prospective randomized study comparing procedure performed after 3 hours versus 6 hours.Clinics (Sao Paulo, Brazil) · 2020Trial
- Development and internal validation of a prediction model for suboptimal bowel preparation in individuals aged ≤50 years undergoing colonoscopy.Frontiers in medicine · 2026Article
- Research progress on intestinal preparation before colonoscopy.World journal of gastrointestinal endoscopy · 2025Review
- Applying machine learning to predict bowel preparation adequacy in elderly patients for colonoscopy: development and validation of a web-based prediction tool.Annals of medicine · 2025Article
- Is Cognitive Impairment Associated with Inadequate Bowel Preparation for Colonoscopy?Journal of the American Board of Family Medicine : JABFM · 2025Article
- Incidence and predicting factors of inadequate bowel preparation for colonoscopy: A cross-sectional study.JGH open : an open access journal of gastroenterology and hepatology · 2024Article
- An abdominal vibration combined with walking exercise (AVCWE) program for older patients with constipation: Development and feasibility study.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2024Article
- Establishment of a risk prediction model for bowel preparation failure prior to colonoscopy.BMC cancer · 2024Article
- Impact of WeChat guidance on bowel preparation for colonoscopy: a quasi-experiment study.Scientific reports · 2023Article
- A predictive model for early death in elderly colorectal cancer patients: a population-based study.Frontiers in oncology · 2023Article
- Pre-colonoscopy special guidance and education on intestinal cleaning and examination in older adult patients with constipation.World journal of gastrointestinal surgery · 2022Article
- Relationship between Health Literacy and Knowledge, Compliance with Bowel Preparation, and Bowel Cleanliness in Older Patients Undergoing Colonoscopy.International journal of environmental research and public health · 2022Article
- Factors affecting bowel preparation adequacy and procedural time.JGH open : an open access journal of gastroenterology and hepatology · 2020Article
- Which Patient-Related Factors Determine Optimal Bowel Preparation?Current treatment options in gastroenterology · 2018Review
- Bowel preparation: The elderly, the hospitalized, and the colonoscope.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology AssociationArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background/Aim: : We conducted a prospective observational study to identify the incidence of and risk factors for inadequate bowel preparation in elderly Chinese patients. Patients and Methods: We enrolled 240 outpatients over 60 years of age scheduled for elective colonoscopy at our university hospital between November 2016 and April 2017. We recorded patient demographics, bowel preparation data, and clinical characteristics. Factors associated with inadequate bowel preparation were identified by multivariate logistical regression analysis. Results: The rate of inadequate bowel preparation was 34.6%. Factors associated with inadequate bowel preparation were a history of abdominal surgery (OR, 2.617; CI, 1.324-5.174; P = 0.006), chronic constipation (OR, 3.307; CI, 1.551-7.054; P = 0.002), non-compliance with dietary instructions (OR, 2.239; CI, 1.122-4.471; P = 0.022), non-compliance with polyethylene glycol (PEG) dosage (OR, 4.576; CI, 1.855-11.287; P = 0.001), walking <30 minutes during preparation (OR, 2.474; CI, 1.261-4.855; P = 0.008), interval between PEG ingestion and the onset of bowel activity (OR, 1.025; CI, 1.010-1.040; P = 0.001), and a last stool that was not clear and watery (OR, 4.191; CI, 1.529-11.485; P = 0.005). Conclusion: The incidence of adequate bowel preparation in elderly patients is not optimal. Walking <30 minutes during the PEG ingestion period may be a surrogate for bowel preparation failure. Future studies should identify elderly patients at risk for poor bowel preparation and develop interventions to improve outcomes in this population.
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