ArticleWorld journal of gastrointestinal endoscopy2021
Identifying who best tolerates moderate sedation: Results from a national database of gastrointestinal endoscopic outcomes.
Article in World journal of gastrointestinal endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 6 citations in OpenAlex.
- Optimal sedation/anesthesia practices for painless gastroscopy in older adults: a randomized trial.Frontiers in medicine · 2025Article
- Review
- Impact of looping on premalignant polyp detection during colonoscopy.World journal of gastrointestinal endoscopy · 2022Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith increasing volume and cost of gastrointestinal endoscopic procedures, the proper selection of patients for moderate sedation becomes increasingly relevant. The current literature lacks consistent findings that allow for appropriate selection of patients for moderate sedation.
aimTo analyze a nationwide registry of patients to identify patient and procedural factors associated with lower sedation requirements for endoscopy.
methodsThe Clinical Outcomes Research Initiative National Endoscopic Database was queried to assess adult patients undergoing moderate sedation for esophagogastroduodenoscopy (EGD) and colonoscopy from 2008 to 2014. Patients were stratified into two groups [low dose (LD) and high dose sedation] based on sedation requirements. Anthropometric, procedural, and anesthesia data were compared, and multivariable analysis was performed to identify factors associated with LD sedation.
resultsOf the 371102 patients included in the study, 63137 where stratified into the LD sedation group and 307965 were in the high dose group. Moderate sedation was managed primarily by endoscopists (50%) and anesthesia providers (47%). Patients undergoing EGDs and procedures performed in the inpatient setting, in ambulatory surgery centers, intensive care units or hospital wards, required less sedation than colonoscopies, outpatient procedures and procedures done in endoscopy suites, respectively (
conclusionClinicians should consider these patient profiles in determining which patients will better tolerate moderate sedation
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