How Safe is Sedation in Gastrointestinal Endoscopy? A Multicentre Analysis of 388,404 Endoscopies and Analysis of Data from Prospective Registries of Complications Managed by Members of the Working Group of Leading Hospital Gastroenterologists (ALGK)

被引：37

作者：

Behrens, A. ^{[1
]}

Labenz, J. ^{[2
]}

Schuler, A. ^{[3
]}

Schroeder, W. ^{[3
]}

Ruenzi, M. ^{[4
]}

Steinmann, R. -U. ^{[5
]}

de Mas, C. -R. ^{[6
]}

Kreuzmayr, A. ^{[7
]}

Barth, K. ^{[7
]}

Bahr, M. J. ^{[8
]}

Burmester, E. ^{[8
]}

Erckenbrecht, J. F. ^{[9
]}

Frieling, T. ^{[10
]}

Dumoulin, F. L. ^{[11
]}

Pfaffenbachu, B. ^{[12
]}

Schepp, W. ^{[13
]}

Schneider, A. ^{[13
]}

Kleber, G. ^{[14
]}

Meiborg, M. ^{[14
]}

Boehm, S. ^{[15
]}

Dietrich, C. ^{[16
]}

Dietrich, C. F. ^{[17
]}

Gottschalk, U. ^{[18
]}

Ell, C. ^{[1
]}

机构：

[1] Dr Horst Schmidt Kliniken, D-65199 Wiesbaden, Germany

[2] Jung Stilling Krankenhaus, Siegen, Germany

[3] Helfenstein Klin, Med Klin, Geislingen, Germany

[4] Kliniken Essen Sud, Essen, Germany

[5] Christophorus Kliniken, Med Klin 1, Coesfeld, Germany

[6] Marienhaus Klinikum, Neuwied, Germany

[7] Klinikum Traunstein, Traunstein, Germany

[8] Sana Kliniken Lubeck, Med Klin 1, Lubeck, Germany

[9] Kaiserwerther Diakonie, Innere Med, Dusseldorf, Germany

[10] HELIOS Klinikum Krefeld, Med Klin 2, Krefeld, Germany

[11] Gemeinschaftskrankenhaus Bonn gGmbH, Innere Med Abt, Bonn, Germany

[12] Stadt Klinikum Solingen, Med Klin 1, Solingen, Germany

[13] Stadt Klinikum Munchen, Med Klin 2, Munich, Germany

[14] Ostalb Kliniken, Aalen, Germany

[15] Katholische Kliniken Ruhrhalbinsel, Essen, Germany

[16] Betlehem Gesundheitszentrum Stolberg, Innere Med Klin, Stolberg, Germany

[17] Caritas Krankenhaus, Med Klin 2, Bad Mergentheim, Germany

[18] Maria Heimsuchung Caritas Klin Pankow, Innere Med Abt, Berlin, Germany

来源：

ZEITSCHRIFT FUR GASTROENTEROLOGIE | 2013年 / 51卷 / 05期

关键词：

endoscopy; sedation; complications; ADMINISTERED PROPOFOL;

D O I：

10.1055/s-0032-1325524

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background: Gastrointestinal endoscopies are increasingly being carried out with sedation. All of the drugs used for sedation are associated with a certain risk of complications. Data currently available on sedation-associated morbidity and mortality rates are limited and in most cases have substantial methodological limitations. The aim of this study was to record severe sedation-associated complications in a large number of gastrointestinal endoscopies. Methods: Data on severe sedation-associated complications were collected on a multicentre basis from prospectively recorded registries of complications in the participating hospitals (median documentation period 27 months, range 9 - 129 months). Results: Data for 388,404 endoscopies from 15 departments were included in the study. Severe sedation-associated complications occurred in 57 patients (0.01 %). Forty-one percent of the complications and 50% of all complications with a fatal outcome (10/20 patients) occurred during emergency endoscopies. In addition, it was found that 95% of the complications and 100% of all fatal complications affected patients in ASA class 3.. Conclusions: Including nearly 400,000 endoscopies, this study represents the largest prospective, multicenter record of the complications of sedation worldwide. The analysis shows that sedation is carried out safely in gastrointestinal endoscopy. The morbidity and mortality rates are much lower than previously reported in the literature in similar groups of patients. Risk factors for the occurrence of serious complications include emergency examinations and patients in ASA class 3.

引用

页码：432 / +

页数：5

共 1 条

[1] Safety of sedation during gastroscopy and colonoscopy in low-risk patients - results of a retrospective subgroup analysis of a registry study including over 170 000 endoscopies The prospective multicenter electronic registry of sedation-associated complications of the German Hospital Gastroenterology Consultants' Working Group (ALGK)
Behrens, A.
Ell, C.
ZEITSCHRIFT FUR GASTROENTEROLOGIE, 2016, 54 (08): : 733 - 739

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