Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Nov 4;22(1):445.
doi: 10.1186/s12876-022-02549-7.

Usefulness of discharge standards in outpatients undergoing sedative endoscopy: a propensity score-matched study of the modified post-anesthetic discharge scoring system and the modified Aldrete score

Daisuke Yamaguchi  1   2 , Tomohito Morisaki  3   4 , Yasuhisa Sakata  5 , Yumi Mizuta  3 , Goshi Nagatsuma  3 , Suma Inoue  3 , Akane Shimakura  3 , Amane Jubashi  3 , Yuki Takeuchi  3 , Kei Ikeda  3 , Yuichiro Tanaka  3 , Wataru Yoshioka  3 , Naoyuki Hino  3 , Keisuke Ario  3 , Seiji Tsunada  3 , Motohiro Esaki  5
Affiliations

Usefulness of discharge standards in outpatients undergoing sedative endoscopy: a propensity score-matched study of the modified post-anesthetic discharge scoring system and the modified Aldrete score

Daisuke Yamaguchi et al. BMC Gastroenterol. .

Abstract

Background: This study aimed to evaluate the usefulness of discharge standards in outpatients undergoing sedative endoscopy by comparing the modified post-anesthetic discharge scoring system (MPADSS) and the modified Aldrete score.

Methods: We prospectively enrolled 376 outpatients who underwent gastrointestinal endoscopy under midazolam sedation; 181 outpatients were assessed regarding discharge after sedative endoscopy using the MPADSS (group M), and 195 patients were assessed by the modified Aldrete score (group A). The clinical characteristics, types of endoscopy, endoscopic outcomes, and anesthesia outcomes were evaluated between the two groups. We compared discharge score, recovery time, and adverse events using propensity-score matching.

Results: Propensity-score matching created 120 matched pairs. The proportion of patients who had a recovery time within 60 min after endoscopy was significantly higher in group A than that in group M (42.5% versus 25.0%, respectively; P < 0.01). The proportion of patients who required > 120 min of recovery time after endoscopy was significantly lower in group A than that in group M (0.0% versus 5.0%, respectively; P = 0.03). However, significantly more patients had drowsiness at discharge in group A compared with group M (19.1% versus 5.0%, respectively; P < 0.01). There was no significant difference in the adverse event rate within 24 h of discharge between the groups.

Conclusions: Patients assessed by the modified Aldrete score were allowed to discharge earlier than those assessed by the MPADSS. However, a patient's level of consciousness should be assessed carefully, especially in patients who visit the hospital alone.

Keywords: Adverse events; Discharge; Discharge time; Gastrointestinal endoscopy; Outpatients; Sedation.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Study flow chart MPADSS: The modified post-anesthetic discharge scoring system, group M: discharge standard using the modified post-anesthetic discharge scoring system, group A: discharge standard using the modified Aldrete score
See this image and copyright information in PMC

References

    1. Siegel R, Naishadham D, Jemal A. Cancer statistics, 2013. CA Cancer J Clin. 2013;1:11–30. doi: 10.3322/caac.21166. - DOI - PubMed
    1. Abraham NS, Fallone CA, Mayrand S, Huang J, Wieczorek P, Barkun AN. Sedation versus no sedation in the performance of diagnostic upper gastrointestinal endoscopy: a Canadian randomized controlled cost-outcome study. Am J Gastroenterol. 2004;99:1692–1699. doi: 10.1111/j.1572-0241.2004.40157.x. - DOI - PubMed
    1. Gotoda T, Akamatsu T, Abe S, et al. Guidelines for sedation in gastroenterological endoscopy (second edition) Dig Endosc. 2021;33:21–53. doi: 10.1111/den.13882. - DOI - PubMed
    1. Jin EH, Hong KS, Lee Y, et al. How to improve patient satisfaction during midazolam sedation for gastrointestinal endoscopy? World J Gastroenterol. 2017;23:1098–1105. doi: 10.3748/wjg.v23.i6.1098. - DOI - PMC - PubMed
    1. Loftus R, Nugent Z, Graff LA, Schumacher F, Bernstein CN, Singh H. Patient satisfaction with the endoscopy experience and willingness to return in a central Canadian health region. Can J Gastroenterol. 2013;27:259–266. doi: 10.1155/2013/615206. - DOI - PMC - PubMed

LinkOut - more resources