Factors associated with abdominal pain in patients submitted to colonoscopy
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Publication Date: | 2017 |
Other Authors: | , , , , |
Format: | Article |
Language: | eng |
Source: | Journal of Coloproctology (Rio de Janeiro. Online) |
Download full: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632017000400306 |
Summary: | ABSTRACT Objective: The study evaluated factors associated with abdominal pain during colonoscopy. Methods: This was a cross-sectional observational study that evaluated patients who underwent colonoscopy between February 2014 and February 2015. Physical characteristics, surgical history and previous colonoscopies, indication and current examination conditions, fentanyl and midazolam dose, and pain level were analyzed. Significance level adopted: p < 0.05. Chi-squared test was used for association of categorical variables, Student's t-test was applied for comparison of means, and Spearman's coefficient was used for correlation. Results: A total of 566 women and 391 men with mean age of 54.81 years and mean BMI of 27,064 were evaluated. Of the total, 29 (3.0%) had mild pain, 42 (4.4%) had moderate pain, and 18 (1.9%) had severe pain. Women were less tolerant (p = 0.011) and had longer cecal intubation times (p = 0.001). Mean duration of colonoscopy and mean dose of midazolam were higher in patients with pain (p = 0.001), (p < 0.001*). Among the 39 patients with an incomplete examination, 8 reported pain (p = 0.049). Conclusion: Female gender and prolonged intubation time were significantly associated with abdominal pain during colonoscopy. Patients with discomfort had a higher failure rate on the exam. Additional doses of midazolam given to patients with pain were not effective. |
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Factors associated with abdominal pain in patients submitted to colonoscopyColonoscopyConscious sedationAbdominal painSedationABSTRACT Objective: The study evaluated factors associated with abdominal pain during colonoscopy. Methods: This was a cross-sectional observational study that evaluated patients who underwent colonoscopy between February 2014 and February 2015. Physical characteristics, surgical history and previous colonoscopies, indication and current examination conditions, fentanyl and midazolam dose, and pain level were analyzed. Significance level adopted: p < 0.05. Chi-squared test was used for association of categorical variables, Student's t-test was applied for comparison of means, and Spearman's coefficient was used for correlation. Results: A total of 566 women and 391 men with mean age of 54.81 years and mean BMI of 27,064 were evaluated. Of the total, 29 (3.0%) had mild pain, 42 (4.4%) had moderate pain, and 18 (1.9%) had severe pain. Women were less tolerant (p = 0.011) and had longer cecal intubation times (p = 0.001). Mean duration of colonoscopy and mean dose of midazolam were higher in patients with pain (p = 0.001), (p < 0.001*). Among the 39 patients with an incomplete examination, 8 reported pain (p = 0.049). Conclusion: Female gender and prolonged intubation time were significantly associated with abdominal pain during colonoscopy. Patients with discomfort had a higher failure rate on the exam. Additional doses of midazolam given to patients with pain were not effective.Sociedade Brasileira de Coloproctologia2017-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632017000400306Journal of Coloproctology (Rio de Janeiro) v.37 n.4 2017reponame:Journal of Coloproctology (Rio de Janeiro. Online)instname:Sociedade Brasileira de Coloproctologia (SBCP)instacron:SBCP10.1016/j.jcol.2017.08.003info:eu-repo/semantics/openAccessBellei,Amanda ColpaniDacoregio,Daniela GhizoniBianchini,FlávioSouza,Jaime César GelosaBello,João Martiniano LamimKock,Kaiser de Souzaeng2017-12-13T00:00:00Zoai:scielo:S2237-93632017000400306Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-9363&lng=pt&nrm=isohttps://old.scielo.br/oai/scielo-oai.php||sbcp@sbcp.org.br2317-64232237-9363opendoar:2017-12-13T00:00Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP)false |
dc.title.none.fl_str_mv |
Factors associated with abdominal pain in patients submitted to colonoscopy |
title |
Factors associated with abdominal pain in patients submitted to colonoscopy |
spellingShingle |
Factors associated with abdominal pain in patients submitted to colonoscopy Bellei,Amanda Colpani Colonoscopy Conscious sedation Abdominal pain Sedation |
title_short |
Factors associated with abdominal pain in patients submitted to colonoscopy |
title_full |
Factors associated with abdominal pain in patients submitted to colonoscopy |
title_fullStr |
Factors associated with abdominal pain in patients submitted to colonoscopy |
title_full_unstemmed |
Factors associated with abdominal pain in patients submitted to colonoscopy |
title_sort |
Factors associated with abdominal pain in patients submitted to colonoscopy |
author |
Bellei,Amanda Colpani |
author_facet |
Bellei,Amanda Colpani Dacoregio,Daniela Ghizoni Bianchini,Flávio Souza,Jaime César Gelosa Bello,João Martiniano Lamim Kock,Kaiser de Souza |
author_role |
author |
author2 |
Dacoregio,Daniela Ghizoni Bianchini,Flávio Souza,Jaime César Gelosa Bello,João Martiniano Lamim Kock,Kaiser de Souza |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Bellei,Amanda Colpani Dacoregio,Daniela Ghizoni Bianchini,Flávio Souza,Jaime César Gelosa Bello,João Martiniano Lamim Kock,Kaiser de Souza |
dc.subject.por.fl_str_mv |
Colonoscopy Conscious sedation Abdominal pain Sedation |
topic |
Colonoscopy Conscious sedation Abdominal pain Sedation |
description |
ABSTRACT Objective: The study evaluated factors associated with abdominal pain during colonoscopy. Methods: This was a cross-sectional observational study that evaluated patients who underwent colonoscopy between February 2014 and February 2015. Physical characteristics, surgical history and previous colonoscopies, indication and current examination conditions, fentanyl and midazolam dose, and pain level were analyzed. Significance level adopted: p < 0.05. Chi-squared test was used for association of categorical variables, Student's t-test was applied for comparison of means, and Spearman's coefficient was used for correlation. Results: A total of 566 women and 391 men with mean age of 54.81 years and mean BMI of 27,064 were evaluated. Of the total, 29 (3.0%) had mild pain, 42 (4.4%) had moderate pain, and 18 (1.9%) had severe pain. Women were less tolerant (p = 0.011) and had longer cecal intubation times (p = 0.001). Mean duration of colonoscopy and mean dose of midazolam were higher in patients with pain (p = 0.001), (p < 0.001*). Among the 39 patients with an incomplete examination, 8 reported pain (p = 0.049). Conclusion: Female gender and prolonged intubation time were significantly associated with abdominal pain during colonoscopy. Patients with discomfort had a higher failure rate on the exam. Additional doses of midazolam given to patients with pain were not effective. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632017000400306 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632017000400306 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.jcol.2017.08.003 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coloproctologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coloproctologia |
dc.source.none.fl_str_mv |
Journal of Coloproctology (Rio de Janeiro) v.37 n.4 2017 reponame:Journal of Coloproctology (Rio de Janeiro. Online) instname:Sociedade Brasileira de Coloproctologia (SBCP) instacron:SBCP |
instname_str |
Sociedade Brasileira de Coloproctologia (SBCP) |
instacron_str |
SBCP |
institution |
SBCP |
reponame_str |
Journal of Coloproctology (Rio de Janeiro. Online) |
collection |
Journal of Coloproctology (Rio de Janeiro. Online) |
repository.name.fl_str_mv |
Journal of Coloproctology (Rio de Janeiro. Online) - Sociedade Brasileira de Coloproctologia (SBCP) |
repository.mail.fl_str_mv |
||sbcp@sbcp.org.br |
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1752126478244380672 |