Evidence map›Paper›PMID 39072249›Full record

Trial reportWorld journal of gastrointestinal endoscopy2024

Sedation reversal trends at outpatient ambulatory endoscopic center

Saqib Walayat, Peter Stadmeyer, Azfar Hameed, Minahil Sarfaraz, Paul Estrada, Mark Benson, Anurag Soni, Patrick Pfau, Paul Hayes, Brittney Kile and 2 more

Abstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in World journal of gastrointestinal endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Saqib WalayatDepartment of Gastroenterology, University of Illinois, Peoria, IL 61605, United States.
Peter StadmeyerDepartment of Gastroenterology, University of Wisconsin, Madison, WI 53792, United States.
Azfar HameedDepartment of Internal Medicine, Texas Health Denton, Denton, TX 76201, United States.
Minahil SarfarazDepartment of Internal Medicine, Allama Iqbal Medical College, Lahore 042, Pakistan.
Paul EstradaDepartment of Gastroenterology, Texas Tech University Health Services Center, El Paso, TX 79911, United States.
Mark BensonDepartment of Gastroenterology and Hepatology, University of Wisconsin, Madison, WI 53705, United States.
Anurag SoniDepartment of Gastroenterology and Hepatology, University of Wisconsin, Madison, WI 53705, United States.
Patrick PfauDepartment of Gastroenterology and Hepatology, University of Wisconsin, Madison, WI 53705, United States.
Paul HayesFinance Business Partners UW Health, University of Wisconsin, Madison, WI 53792, United States.
Brittney KileUW Health Digestive Health Center Endoscopy, University of Wisconsin, Madison, WI 53792, United States.
Toni CruzUW Health Digestive Health Center Endoscopy, University of Wisconsin, Madison, WI 53792, United States.
Deepak GopalDivision of Gastroenterology and Hepatology, Department of Medicine, University of Wisconsin Hospitals and Clinics, Madison, WI 53705, United States. dvg@medicine.wisc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRoutine outpatient endoscopy is performed across a variety of outpatient settings. A known risk of performing endoscopy under moderate sedation is the potential for over-sedation, requiring the use of reversal agents. More needs to be reported on rates of reversal across different outpatient settings. Our academic tertiary care center utilizes a triage tool that directs higher-risk patients to the in-hospital ambulatory procedure center (APC) for their procedure. Here, we report data on outpatient sedation reversal rates for endoscopy performed at an in-hospital APC

aimTo observe the effect of risk stratification using a triage tool on patient outcomes, primarily sedation reversal events.

methodsWe observed all outpatient endoscopy procedures performed at AEC-DHC and APC from April 2013 to September 2019. Procedures were stratified to their respective sites using a triage tool. We evaluated each procedure for which sedation reversal with flumazenil and naloxone was recorded. Demographics and characteristics recorded include patient age, gender, body mass index (BMI), American Society of Anesthesiologists (ASA) classification, procedure type, and reason for sedation reversal.

resultsThere were 97366 endoscopic procedures performed at AEC-DHC and 22494 at the APC during the study period. Of these, 17 patients at AEC-DHC and 9 at the APC underwent sedation reversals (0.017%

conclusionOur study highlights the effectiveness of a triage tool used at our tertiary care hospital for risk stratification in minimizing sedation reversal events during outpatient endoscopy procedures. Using a triage tool for risk stratification, low rates of sedation reversal can be achieved in the ambulatory settings for EGD and colonoscopy.

Indexed as

Ambulatory careColonoscopyConscious sedationEndoscopyRisk assessmentRisk factors

Identifiers

PMID39072249
PMCPMC11271719

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.