A Predictive Factors of Inadequate Bowel Preparation for Elective Colonoscopy
Gastroenterology and Hepatology from Bed to Bench,
Vol. 15 No. 1 (2022),
30 January 2022
https://doi.org/10.22037/ghfbb.vi.2493
Abstract
Background: Inadequate bowel preparation can lead to lower polyp detection rates, longer procedure times, and lower cecal intubation rates. This study was aimed to evaluate the effects of factors like demographic items, comorbidities, and drug history on the inadequacy of colonic preparation before colonoscopy.
Methods: This population-based study was conducted on 2476 Iranian adults who were referred to two tertiary centers for elective colonoscopy between 2017 and 2018. Bowel preparation quality was scored by the Boston bowel preparation scale (BBPS). Univariate and multivariate logistic regressions were used to find the independent predictors of bowel preparation inadequacy.
Results: Our results showed that 31.8% of our patients had inadequate bowel preparation before performing colonoscopy. Higher age, BMI>25, abdominal circumference>95 cm, low fruit consumption, and history of smoking were independently correlated with bowel preparation inadequacy, additionally, using NSAIDs and SSRIs were correlated with bowel preparation adequacy in multivariate regression analysis. Finally, age, gender, ethnicity, BMI, abdominal circumference, fruit consumption, smoking, NSAIDs, SSRIs, education, constipation, physical activity, and diabetes entered our predictive model. The area under the curve (AUC) reached 0.70 in the final step.
Conclusions: We found the independent risk factors associated with colonic preparation inadequacy, and finally suggested a predictive model for identifying the patients with a high risk of bowel preparation inadequacy before performing a colonoscopy to employ alternative preparation techniques among high-risk groups, to yield optimal preparation quality.
- Colonoscopy; Colon cleaning; Bowel preparation; Risk factors of bowel cleansing; quality of colonoscopy
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