Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1018
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dc.contributor.authorLeslie, Kate*
dc.contributor.authorAllen, M.L.*
dc.contributor.authorHessian, E*
dc.contributor.authorPeyton, P.J.*
dc.contributor.authorKasza, J.*
dc.contributor.authorCourtney, A.*
dc.contributor.authorDhar, P.A.*
dc.contributor.authorBriedis, J.*
dc.contributor.authorLee, S.*
dc.contributor.authorBeeton, A.R.*
dc.contributor.authorSayakkarage, D.*
dc.contributor.authorPalanivel, S.*
dc.contributor.authorTaylor, J.K.*
dc.contributor.authorHaughton, A.J.*
dc.contributor.authorO'Kane, C.X.*
dc.date.accessioned2017-04-07T03:28:59Z-
dc.date.available2017-04-07T03:28:59Z-
dc.date.issued2017en
dc.identifier.govdoc01019en
dc.identifier.issn0007-0912*
dc.identifier.urihttp://hdl.handle.net/11054/1018-
dc.description.abstractBackground. Service models for gastrointestinal endoscopy sedation must be safe, as endoscopy is the most common procedure performed under sedation in many countries. The aim of this prospective cohort study was to determine the patient risk profile, and incidence of and risk factors for significant unplanned events, in adult patients presenting for gastrointestinal endoscopy in a group of university-affiliated hospitals where most sedation is managed by anaesthetists. Methods. Patients aged ≥18 yr presenting for elective and emergency gastrointestinal endoscopy under anaesthetist-managed sedation at nine hospitals affiliated with the University of Melbourne, Australia, were included. Outcomes included significant airway obstruction, hypoxia, hypotension and bradycardia; unplanned tracheal intubation; abandoned procedure; advanced life support; prolonged post-procedure stay; unplanned over-night admission and 30-day mortality. Results. 2,132 patients were included. Fifty percent of patients were aged >60 yr, 50% had a BMI >27 kg m −2, 42% were ASA physical status III-V and 17% were emergency patients. The incidence of significant unplanned events was 23.0% (including significant hypotension 11.8%). Significant unplanned intraoperative events were associated with increasing age, BMI <18.5 kg m −2, ASA physical status III-V, colonoscopy and planned tracheal intubation. Thirty-day mortality was 1.2% (0.2% in electives and 6.0% in emergencies) and was associated with ASA physical status IV-V and emergency status. Conclusions. Patients presenting for gastrointestinal endoscopy at a group of public university-affiliated hospitals where most sedation is managed by anaesthetists, had a high risk profile and a substantial incidence of significant unplanned intraoperative events and 30-day mortality.en
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2017-03-23T07:13:32Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2017-04-07T03:28:59Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2017-04-07T03:28:59Z (GMT). No. of bitstreams: 0 Previous issue date: 2017en
dc.publisherOxford University Press (OUP)en
dc.titleSafety of sedation for gastrointestinal endoscopy in a group of university-affiliated hospitals: a prospective cohort study.en
dc.typeJournal Article*
dc.type.specifiedArticleen
dc.bibliographicCitation.titleBritish Journal of Anaesthesiaen
dc.bibliographicCitation.volume118en
dc.bibliographicCitation.issue1en
dc.bibliographicCitation.stpage90en
dc.bibliographicCitation.endpage99en
dc.publisher.placeLondon, UKen
dc.subject.healththesaurusANESTHESIAen
dc.subject.healththesaurusANESTHESIOLOGYen
dc.subject.healththesaurusANESTHETISTSen
dc.subject.healththesaurusCOLONOSCOPYen
dc.subject.healththesaurusCOMPLICATIONSen
dc.subject.healththesaurusENDOSCOPY, GASTROINTESTINALen
dc.subject.healththesaurusPROSPECTIVE STUDIESen
dc.subject.healththesaurusSEDATIONen
dc.subject.healththesaurusRISK FACTORSen
dc.subject.healththesaurusUNIVERSITIESen
dc.date.issuedbrowse2017-01-01-
dc.identifier.doihttps://doi.org/10.1093/bja/aew393en
Appears in Collections:Research Output

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