Risk Factors of Poor Bowel Preparation in Elderly Inpatients Undergoing Colonoscopy
Objective To investigate the risk factors of poor bowel preparation in elderly inpatients un-dergoing colonoscopy.Methods Total 95 elderly patients admitted to our hospital for colonoscopy from January 1,2023 to October 31,2023 were selected to evaluate quality of the bowel preparation by Boston bowel preparation scale(BBPS)score.Those with total score ≥6 and scores ≥2 in any segment of intesti-nal tract(left colon,transverse colon,right colon)were included as qualified bowel preparation.Those with total score＜6 or scores＜2 in any segment were included as poor bowel preparation.The bowel prepa-ration of patients with different characteristics was analyzed,and the risk factors leading to poor bowel preparation were analyzed by multivariate Logistic regression analysis.Results There were statistically significant differences in bowel preparation among different groups in age,body mass index(BMI),educa-tion level,with diabetes mellitus and constipation,history of colon surgery,history of abdominal/pelvic surgery,whether to be the first colonoscopy,and walking ability(P＜0.05).Multivariate Logistic analy-sis showed that age ≥70 years old,BMI≥24 kg/m2,with diabetes,junior high school education level or less,history of colorectal surgery,history of constipation,and the first colonoscopy were the risk factors for poor bowel preparation(P＜0.05).Conclusion The quality of bowel preparation before colonoscopy in elderly inpatients is affected by many factors.Targeted intervention should be carried out for patients with the above risk factors to improve the quality of bowel preparation.
Old ageColonoscopyBowel preparationQualityRisk factor
NETL
NSTL
万方数据
