The Assessment of Esophagogastroduodenoscopy Tolerance: A Prospective Study of 300 Cases
2001

Assessing Tolerance of Esophagogastroduodenoscopy

Sample size: 300 publication Evidence: moderate

Author Information

Author(s): Ashkan Farhadi, Jeremy Z. Fields, Seyed Hamid Bozorgnia Hoseini

Primary Institution: Mazandaran University of Medical Sciences

Hypothesis

What factors determine and influence patient tolerance of esophagogastroduodenoscopy (EGD)?

Conclusion

Age and gagging during throat spraying can predict EGD intolerance, while subjective fear and anxiety may not be reliable indicators.

Supporting Evidence

  • 79% of patients reported good tolerance of EGD.
  • Age and gagging during throat spraying correlated with EGD intolerance.
  • Patient perception of EGD tolerance was significantly associated with ease of intubation.

Takeaway

This study looked at how well people tolerate a procedure called EGD, finding that age and gagging can help doctors decide if a patient needs sedation.

Methodology

The study evaluated 300 adult patients undergoing EGD without sedation, assessing various factors related to their tolerance.

Potential Biases

Potential bias due to subjective measures of tolerance and the exclusion of patients requiring sedation for medical reasons.

Limitations

The study did not account for patients with prior sedation or those with emergency conditions affecting anxiety levels.

Participant Demographics

52% male, 48% female, ages ranged from 18 to 87 years with a mean age of 40.

Statistical Information

P-Value

p<0.0001

Confidence Interval

95% CI 5.98-24.45

Statistical Significance

p<0.0001

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