Abstract
Purpose: Bowel preparation, cecal intubation rate, and adenoma detection rate influence the quality of colonoscopy and interval cancer rate. Adequate bowel preparation is first and essential step for not only procedure safety but also lesions defection ability. According to literature, several factors affect inpatient bowel preparation such as age, socioeconomic class, opiate/ tricyclic antidepressants use, and physical status classification system by American society of anesthesiologists. However, there was still lack of general predicting model. Under hypothesis that patient"s activity may be related to bowel movement then influence the bowel preparation. Thus we tried to predict inpatient bowel preparation by activity scoring system: Barthel index and performance status scale by eastern cooperative oncology group that routinely assessed in our inpatient nursing work. This study was aimed to evaluate predicting power of Barthel index and performance status scale by eastern cooperative oncology group for inpatient bowel preparation. We also investigated the cutoff values of scoring systems for inadequate bowel preparation.
Methods: All consecutive patients hospitalized for colonoscopy at the gastroenterology ward between 2016 May to 2016 June were retrospectively analyzed. We used Aronchick scale for bowel preparation evaluation. The level "excellent" and "good" were defined as adequate; "fair" and "poor" were defined as inadequate. All patients" activity statuses were assessed by Barthel index and performance status scale by eastern cooperative oncology group. The results were tested by receiver operating characteristic curve. Final the cutoffs were calculated by Youden's index.
Results: During the period of study, 100 hospitalized patients were retrospectively reviewed. The adequate bowel preparation rate was 70%. In addition, adenoma detection rate was 35%; cecal intubation rate was 99%. In receiver operating characteristic curve, area under curve of Barthel index was 0.798; area under curve of performance status scale by eastern cooperative oncology group was 0.824. Both of them were good discrimination for bowel preparation. After Youden's index calculation, we found 82 was cutoff for Barthel index and 1 was for performance status scale by eastern cooperative oncology group.
Conclusion: Both Barthel index and performance status scale by eastern cooperative oncology group were valuable to predicting inpatient bowel preparation. In daily practice, cutoffs let medical team pay more attention to possible inadequate bowel preparation.
Sigma Membership
Non-member
Type
Poster
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Barthel Index, Bowel Preparation, Performance Status Scale by Eastern Cooperative Oncology Group
Recommended Citation
Kuo, Yu-Chi; Wong, Ming-Wun; Lee, Ning-Hsin; Hsu, Tzu-an; Lin, Wei-Chen; and Cheng, Chun-han, "Using Barthel Index and Performance Status Scale to predict inpatient bowel preparation quality" (2017). INRC (Congress). 110.
https://www.sigmarepository.org/inrc/2017/posters_2017/110
Conference Name
28th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Dublin, Ireland
Conference Year
2017
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Acquisition
Proxy-submission
Using Barthel Index and Performance Status Scale to predict inpatient bowel preparation quality
Dublin, Ireland
Purpose: Bowel preparation, cecal intubation rate, and adenoma detection rate influence the quality of colonoscopy and interval cancer rate. Adequate bowel preparation is first and essential step for not only procedure safety but also lesions defection ability. According to literature, several factors affect inpatient bowel preparation such as age, socioeconomic class, opiate/ tricyclic antidepressants use, and physical status classification system by American society of anesthesiologists. However, there was still lack of general predicting model. Under hypothesis that patient"s activity may be related to bowel movement then influence the bowel preparation. Thus we tried to predict inpatient bowel preparation by activity scoring system: Barthel index and performance status scale by eastern cooperative oncology group that routinely assessed in our inpatient nursing work. This study was aimed to evaluate predicting power of Barthel index and performance status scale by eastern cooperative oncology group for inpatient bowel preparation. We also investigated the cutoff values of scoring systems for inadequate bowel preparation.
Methods: All consecutive patients hospitalized for colonoscopy at the gastroenterology ward between 2016 May to 2016 June were retrospectively analyzed. We used Aronchick scale for bowel preparation evaluation. The level "excellent" and "good" were defined as adequate; "fair" and "poor" were defined as inadequate. All patients" activity statuses were assessed by Barthel index and performance status scale by eastern cooperative oncology group. The results were tested by receiver operating characteristic curve. Final the cutoffs were calculated by Youden's index.
Results: During the period of study, 100 hospitalized patients were retrospectively reviewed. The adequate bowel preparation rate was 70%. In addition, adenoma detection rate was 35%; cecal intubation rate was 99%. In receiver operating characteristic curve, area under curve of Barthel index was 0.798; area under curve of performance status scale by eastern cooperative oncology group was 0.824. Both of them were good discrimination for bowel preparation. After Youden's index calculation, we found 82 was cutoff for Barthel index and 1 was for performance status scale by eastern cooperative oncology group.
Conclusion: Both Barthel index and performance status scale by eastern cooperative oncology group were valuable to predicting inpatient bowel preparation. In daily practice, cutoffs let medical team pay more attention to possible inadequate bowel preparation.