AI Article Synopsis
- The study examined recovery times after sedation for upper gastrointestinal endoscopy among 1,310 patients from a national screening program.
- Factors affecting recovery included medical history, with hypertension linked to shorter recovery times and stroke associated with longer recovery times.
- Medication dosage also played a role, as higher doses of midazolam and lower doses of propofol resulted in longer recovery periods, indicating the need for careful management of these patients post-sedation.
Article Abstract
The purpose of this study was to investigate factors affecting recovery time after sedation for upper gastrointestinal endoscopy. The study population included 1310 patients in the national gastric cancer screening program who received sedation for upper gastrointestinal endoscopy from April 15, 2015 to December 31, 2018. Multivariate regression analysis was performed to identify factors related to recovery time. The mean recovery time after examination was 51.2 minutes (SD=13.3). Patients with a history of hypertension had a recovery time 2.59 minutes shorter than that of patients without hypertension (p=0.006, Bonferroni-corrected p=0.108). Patients with a history of stroke had a recovery time 9.41 minutes longer than that of patients without stroke (p=0.007, Bonferroni-corrected p=0.124). Patients who received 3 mg midazolam had a recovery time 2.99 minutes longer than that of patients received 2 mg (p=0.001, Bonferroni-corrected p=0.010), and patients who received less than 6 cc of propofol had a recovery time 2.90 minutes longer than those that of patients received 7-12 cc of propofol (p<0.001, Bonferroni-corrected p=0.005). These results suggest that receiving high doses of midazolam and having a history of stroke are associated with longer recovery times. Patients meeting these criteria should be managed carefully after sedation for upper gastrointestinal endoscopy.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7520373 | PMC |
| http://dx.doi.org/10.4068/cmj.2020.56.3.191 | DOI Listing |
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