A predictive score of inadequate bowel preparation based on a self-administered questionnaire: PREPA-CO - 16/06/21
, Elodie Cesbron-Métivier b, c, Sandrine Bertrais b, c, Anne Olivier b, c, Aymeric Becq d, Jèrôme Boursier b, c, Adrien Lannes b, c, Dominique Luet b, c, Etienne Pateu b, Nina Dib b, c, François-Xavier Caroli-Bosc b, c, Carole Vitellius b, c, Paul Calès b, cBienvenue sur EM-consulte, la référence des professionnels de santé.
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Highlights |
• | The proportion of patients with inadequate bowel preparation is around 25%, generating significant costs due to repeat procedures. |
• | In this prospective study, risk factors of inadequate bowel preparation were identified. |
• | A predictive score named “Prepa-Co” has been developed, it allows to classify patients according to their risk of inadequate bowel preparation. |
• | In clinical practice, this score could help adapt the prescription of the preparation. |
Abstract |
Introduction |
Inadequate bowel preparation before colonoscopy has a 20–30% rate and impedes on the quality of the procedure. The aim of this study was to develop a predictive score of inadequate bowel preparation, using a patient questionnaire on potential risk factors.
Methods |
In this single center study, consecutive patients with colonoscopy indication were enrolled. The primary outcome was inadequate bowel preparation defined by Boston Bowel Preparation Scale (BBPS) score <7 or a score ≤1 in any of the 3 colonic segments.
Results |
A total of 561 patients were included. Inadequate bowel preparation was seen in 25.0% of cases. Seven risk factors were selected into the prediction model of inadequate bowel preparation: diabetes or obesity, irregular physical activity, cirrhosis, use of antidepressants or neuroleptics, use of opiate medication, history of surgery and history of inadequate bowel preparation. The risk score, named PREPA-CO, had an AUROC of 0.621, adequately predicted bowel cleanliness in 68.3% of cases, with a specificity of 75.8% and a negative predictive value of 80.8%.
Conclusion |
We developed a predictive score named “Prepa-Co”, allowing the identification of patients at high risk of inadequate bowel preparation. In clinical practice, this score could help tailor the prescription of the preparation to the patient.
Le texte complet de cet article est disponible en PDF.Keywords : Bowel preparation, Colonoscopy, Boston Bowel Preparation Scale, Predictive model
Plan
Vol 45 - N° 4
Article 101693- juillet 2021 Retour au numéro
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