Using Barthel Index and Performance Status Scale to Predict Inpatient Bowel Preparation Quality

2.50
Hdl Handle:
http://hdl.handle.net/10755/621639
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Using Barthel Index and Performance Status Scale to Predict Inpatient Bowel Preparation Quality
Author(s):
Kuo, Yu-Chi; Wong, Ming-Wun; Lee, Ning-Hsin; Hsu, Tzu-an; Lin, Wei-Chen; Cheng, Chun-han
Lead Author STTI Affiliation:
Non-member
Author Details:
Yu-Chi Kuo, BSN, RN, Professional Experience: 2000-present -- Registered Nurse of Taiwan 2008-present--The Ward Manager in the Division of Gastroenterology and Hepatology of Mackay Memorial Hospital Taitung Branch, Taiwan. 2012-present--Certification of Oncology Certified Nurse of Taiwan Author Summary: 2000-present--Registered Nurse of Taiwan 2012-present--The Ward Manager in the Division of Gastroenterology and Hepatology of Mackay Memorial Hospital Taitung Branch, Taiwan. 2014-present--the clinical education of nurse
Abstract:

Purpose:

Bowel preparation, cecal intubation rate, and adenoma detection rate influence the quality of colonoscopy and interval cancer rate. Adequate bowel preparation is first and essential step for not only procedure safety but also lesions defection ability. According to literature, several factors affect inpatient bowel preparation such as age, socioeconomic class, opiate/ tricyclic antidepressants use, and physical status classification system by American society of anesthesiologists. However, there was still lack of general predicting model. Under hypothesis that patient’s activity may be related to bowel movement then influence the bowel preparation. Thus we tried to predict inpatient bowel preparation by activity scoring system: Barthel index and performance status scale by eastern cooperative oncology group that routinely assessed in our inpatient nursing work. This study was aimed to evaluate predicting power of Barthel index and performance status scale by eastern cooperative oncology group for inpatient bowel preparation. We also investigated the cutoff values of scoring systems for inadequate bowel preparation.

Methods:

All consecutive patients hospitalized for colonoscopy at the gastroenterology ward between 2016 May to 2016 June were retrospectively analyzed. We used Aronchick scale for bowel preparation evaluation. The level “excellent” and “good” were defined as adequate; “fair” and “poor” were defined as inadequate. All patients’ activity statuses were assessed by Barthel index and performance status scale by eastern cooperative oncology group. The results were tested by receiver operating characteristic curve. Final the cutoffs were calculated by Youden's index.

Results:

During the period of study, 100 hospitalized patients were retrospectively reviewed. The adequate bowel preparation rate was 70%. In addition, adenoma detection rate was 35%; cecal intubation rate was 99%. In receiver operating characteristic curve, area under curve of Barthel index was 0.798; area under curve of performance status scale by eastern cooperative oncology group was 0.824. Both of them were good discrimination for bowel preparation. After Youden's index calculation, we found 82 was cutoff for Barthel index and 1 was for performance status scale by eastern cooperative oncology group.

Conclusion:

Both Barthel index and performance status scale by eastern cooperative oncology group were valuable to predicting inpatient bowel preparation. In daily practice, cutoffs let medical team pay more attention to possible inadequate bowel preparation.

Keywords:
Barthel Index; Bowel Preparation; Performance Status Scale by Eastern Cooperative Oncology Group
Repository Posting Date:
3-Jul-2017
Date of Publication:
3-Jul-2017
Other Identifiers:
INRC17PST116
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleUsing Barthel Index and Performance Status Scale to Predict Inpatient Bowel Preparation Qualityen_US
dc.contributor.authorKuo, Yu-Chien
dc.contributor.authorWong, Ming-Wunen
dc.contributor.authorLee, Ning-Hsinen
dc.contributor.authorHsu, Tzu-anen
dc.contributor.authorLin, Wei-Chenen
dc.contributor.authorCheng, Chun-hanen
dc.contributor.departmentNon-memberen
dc.author.detailsYu-Chi Kuo, BSN, RN, Professional Experience: 2000-present -- Registered Nurse of Taiwan 2008-present--The Ward Manager in the Division of Gastroenterology and Hepatology of Mackay Memorial Hospital Taitung Branch, Taiwan. 2012-present--Certification of Oncology Certified Nurse of Taiwan Author Summary: 2000-present--Registered Nurse of Taiwan 2012-present--The Ward Manager in the Division of Gastroenterology and Hepatology of Mackay Memorial Hospital Taitung Branch, Taiwan. 2014-present--the clinical education of nurseen
dc.identifier.urihttp://hdl.handle.net/10755/621639-
dc.description.abstract<p><strong><strong>Purpose:</strong></strong></p> <p>Bowel preparation, cecal intubation rate, and adenoma detection rate influence the quality of colonoscopy and interval cancer rate. Adequate bowel preparation is first and essential step for not only procedure safety but also lesions defection ability. According to literature, several factors affect inpatient bowel preparation such as age, socioeconomic class, opiate/ tricyclic antidepressants use, and physical status classification system by American society of anesthesiologists. However, there was still lack of general predicting model. Under hypothesis that patient’s activity may be related to bowel movement then influence the bowel preparation. Thus we tried to predict inpatient bowel preparation by activity scoring system: Barthel index and performance status scale by eastern cooperative oncology group that routinely assessed in our inpatient nursing work. This study was aimed to evaluate predicting power of Barthel index and performance status scale by eastern cooperative oncology group for inpatient bowel preparation. We also investigated the cutoff values of scoring systems for inadequate bowel preparation.</p> <p><strong>Methods:</strong><strong></strong></p> <p>All consecutive patients hospitalized for colonoscopy at the gastroenterology ward between 2016 May to 2016 June were retrospectively analyzed. We used Aronchick scale for bowel preparation evaluation. The level “excellent” and “good” were defined as adequate; “fair” and “poor” were defined as inadequate. All patients’ activity statuses were assessed by Barthel index and performance status scale by eastern cooperative oncology group. The results were tested by receiver operating characteristic curve. Final the cutoffs were calculated by Youden's index.</p> <p><strong>Results:</strong><strong></strong></p> <p>During the period of study, 100 hospitalized patients were retrospectively reviewed. The adequate bowel preparation rate was 70%. In addition, adenoma detection rate was 35%; cecal intubation rate was 99%. In receiver operating characteristic curve, area under curve of Barthel index was 0.798; area under curve of performance status scale by eastern cooperative oncology group was 0.824. Both of them were good discrimination for bowel preparation. After Youden's index calculation, we found 82 was cutoff for Barthel index and 1 was for performance status scale by eastern cooperative oncology group.</p> <p><strong>Conclusion:</strong></p> <p>Both Barthel index and performance status scale by eastern cooperative oncology group were valuable to predicting inpatient bowel preparation. In daily practice, cutoffs let medical team pay more attention to possible inadequate bowel preparation.</p>en
dc.subjectBarthel Indexen
dc.subjectBowel Preparationen
dc.subjectPerformance Status Scale by Eastern Cooperative Oncology Groupen
dc.date.available2017-07-03T17:38:57Z-
dc.date.issued2017-07-03-
dc.date.accessioned2017-07-03T17:38:57Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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