Influencing factors of quality of bowel preparation for colonoscopy in elderly patients

Yubin WANG; Changqing ZHANG; Kuiling ZHANG; Apei ZHOU

doi:10.16016/j.1000-5404.201703053

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Influencing factors of quality of bowel preparation for colonoscopy in elderly patients

Clinical Medicine | 更新时间：2026-01-09

- Influencing factors of quality of bowel preparation for colonoscopy in elderly patients
- Journal of Third Military Medical University Vol. 39, Issue 18, Pages: 1871-1874(2017)
- 作者机构：
  
  362000 福建泉州，福建医科大学附属泉州第一医院：泉州市第一医院消化内科
- 作者简介：
- 基金信息：
  
  the Scientific Research Project of Quanzhou Health and Family Planning Commission(2009Z79)
- DOI：10.16016/j.1000-5404.201703053
  CLC： R339.34;R472.9;R574.62
- Received：09 March 2017，
  
  Revised：2017-04-18，
  
  Published：30 September 2017
- 稿件说明：
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Yubin WANG, Changqing ZHANG, Kuiling ZHANG, et al. Influencing factors of quality of bowel preparation for colonoscopy in elderly patients[J]. Journal of Third Military Medical University, 2017, 39(18): 1871-1874.
DOI：

Yubin WANG, Changqing ZHANG, Kuiling ZHANG, et al. Influencing factors of quality of bowel preparation for colonoscopy in elderly patients[J]. Journal of Third Military Medical University, 2017, 39(18): 1871-1874. DOI： 10.16016/j.1000-5404.201703053.

摘要

目的

探讨老年患者结肠镜诊疗相关肠道准备质量的影响因素，为针对性干预提供依据。

方法

前瞻性纳入我院拟行结肠镜诊疗的老年(≥65岁)患者120例，采用聚乙二醇(PEG)电解质散3L分次方案进行肠道准备，采用Holden步行功能分级标准(FAC)评估患者行走能力，采用波士顿评分标准(BBPS)评估患者肠道准备质量，单因素和多因素Logistic回归分析影响老年患者结肠镜检查肠道准备质量的因素。

结果

本组肠道准备质量BBPS评分为(6.57±0.72) 分，肠道准备充分率为68.3%(82/120)。单因素分析发现，合并糖尿病(

=0.002)、脑卒中(

=0.005)、服用三环类抗抑郁药(

=0.029)、行走困难(

=0.001) 是老年患者肠道准备质量差的影响因素(

=0.05)。多因素分析发现，合并糖尿病(

=2.54，95%

：1.08~3.16，

=0.015)、行走困难(

=4.36，95%

：2.37~13.41，

=0.003) 是老年患者肠道准备质量差的独立危险因素(

=0.05)。

结论

糖尿病、行走困难是老年患者结肠镜诊疗相关肠道准备质量差的独立危险因素，临床上应重点加强对此类人群的干预。

Abstract

Objective

To investigate the factors influencing the quality of bowel preparation for colonoscopy in elderly patients.

Methods

A series of 120 elderly patients (≥65 years old) undergoing colonoscopy were prospectively enrolled into this study from May to December 2016. All patients received a standard program of 3 L polyethylene glycol (PEG) for bowel preparation. The ability to ambulate was evaluated by Holden walking function rating scale (FAC). The quality of bowel preparation was assessed using Boston Bowel Preparation Scale (BBPS). Univariate and multivariate logistic regression analysis were performed to determine significant factors influencing bowel preparation quality in elderly patients with colonoscopy.

Results

In this group

the BBPS score of bowel preparation was 6.57±0.72

and the rate of adequate bowel preparation was 68.3% (82/120). Univariate analysis showed that diabetes mellitus (

=0.002)

stroke (

=0.005)

tricyclic antidepressants (

=0.029)

and difficulty walking (

0.001) was influence factors of the poor quality of bowel preparation in the elderly patients(

=0.05). Multivariate analysis found that the combination of diabetes mellitus (

=2.54

95%

:1.08-3.16

=0.015)

walking difficulty (

=4.36

95%

:2.37-13.41

=0.003) were independent risk factors for the poor quality of bowel preparation in the elderly patients (

=0.05).

Conclusion

Diabetes and difficulty with ambulation are the independent risk factors for poor quality of bowel preparation in elderly patients undergoing colonoscopy.

关键词

Keywords

references

PUENTE GUTIÉRREZ J J, MARÍN MORENO M A, DOMÍNGUEZ JIMÉNEZ J L, et al. Effectiveness of a colonoscopic screening programme in first-degree relatives of patients with colorectal cancer[J]. Colorectal Dis, 2011, 13(6): e145-e153. DOI: 10.1111/j.1463-1318.2011.02577.x.

REX D K. Bowel preparation for colonoscopy: entering an era of increased expectations for efficacy[J]. Clin Gastroenterol Hepatol, 2014, 12(3): 458-462. DOI: 10.1016/j.cgh.2013. 11.003.

PARRA-BLANCO A, RUIZ A, ALVAREZ-LOBOS M, et al. Achieving the best bowel preparation for colonoscopy[J].World J Gastroenterol, 2014, 20(47): 17709-17726. DOI: 10.3748/ wjg.v20.i47.17709.

KIM H G. Is Elderly Age a Simple Predictive Factor for Inadequate Bowel Preparation before Colonoscopy[J]. Gut Liver, 2016, 10(4): 489-490. DOI: 10.5009/gnl16203.

HASSAN C, BRETTHAUER M, KAMINSKI M F, et al. Bowel preparation for colonoscopy: European Society of Gastrointestinal Endoscopy (ESGE) guideline[J]. Endoscopy, 2013, 45(2): 142-150. DOI: 10.1055/s-0032-1326186.

ABIZANDA P, ROMERO L, SÁNCHEZ-JURADO P M, et al. Association between Functional Assessment Instruments and Frailty in Older Adults: The FRADEA Study[J]. J Frailty Aging, 2012, 1(4): 162-168. DOI: 10.14283/jfa.2012.25.

CALDERWOOD A H, SCHROY P C 3RD, LIEBERMAN D A, et al. Boston Bowel Preparation Scale scores provide a standardized definition of adequate for describing bowel cleanliness[J]. Gastrointest Endosc, 2014, 80(2): 269-276. DOI: 10.1016/j.gie.2014.01.031.

DAY L W, KWON A, INADOMI J M, et al. Adverse events in older patients undergoing colonoscopy: a systematic review and meta-analysis[J]. Gastrointest Endosc, 2011, 74(4): 885-896. DOI: 10.1016/j.gie.2011.06.023.

CHENG R W, CHIU Y C, WU K L, et al. Predictive factors for inadequate colon preparation before colonoscopy[J]. Tech Coloproctol, 2015, 19(2): 111-115. DOI: 10.1007/s10151-014-1259-0.

KIM H G, JEON S R, KIM M Y, et al. How to predict adequate bowel preparation before colonoscopy using conventional polyethylene glycol: prospective observational study based on survey[J]. Dig Endosc, 2015, 27(1): 87-94. DOI: 10. 1111/den.12312.

CHUNG Y W, HAN D S, PARK K H, et al. Patient factors predictive of inadequate bowel preparation using polyethylene glycol: a prospective study in Korea[J]. J Clin Gastroenterol, 2009, 43(5): 448-452. DOI: 10.1097/MCG.0b0 13e3181662442.

PONTONE S, LEONETTI G, LAMAZZA A, et al. A Retrospective Case-Control Study Evaluating the Bowel Preparation Quality during Surveillance Colonoscopy after Colonic Resection[J]. ISRN Gastroenterol, 2014, 2014: 681978. DOI: 10.1155/2014/681978.

方军, 马丹, 王树玲, 等.肠道准备质量影响因素中患者相关因素的研究进展[J].中华消化内镜杂志, 2016, 33(4): 265-267. DOI: 10.3760/cma.j.issn.1007-5232. 2016.04.022.

FANG J, MA D, WANG S L, et al. Research progress of relative factors influencing the quality of bowel preparation[J]. Chin J Dig Endosc, 2016, 33(4): 265-267. DOI: 10.3760/cma.j.issn. 1007-5232.2016.04.022.

CHANDRASEKHARAN B, ANITHA M, BLATT R, et al. Colonic motor dysfunction in human diabetes is associated with enteric neuronal loss and increased oxidative stress[J]. Neurogastroenterol Motil, 2011, 23(2): 131-138. DOI: 10. 1111/j.1365-2982.2010.01611.x.

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