1. Risks Associated With Anesthesia Services During Colonoscopy
- Author
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Carolyn M. Rutter, Alison T. Brenner, Karen J. Wernli, and John M. Inadomi
- Subjects
Male ,Colorectal cancer ,medicine.medical_treatment ,Perforation (oil well) ,Colonoscopy ,Context (language use) ,Article ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Anesthesia ,Prospective cohort study ,Stroke ,Hepatology ,medicine.diagnostic_test ,business.industry ,Gastroenterology ,medicine.disease ,Polypectomy ,030220 oncology & carcinogenesis ,Current Procedural Terminology ,Female ,030211 gastroenterology & hepatology ,business - Abstract
Background & Aims We aimed to quantify the difference in complications from colonoscopy with vs without anesthesia services. Methods We conducted a prospective cohort study and analyzed administrative claims data from Truven Health Analytics MarketScan Research Databases from 2008 through 2011. We identified 3,168,228 colonoscopy procedures in men and women, aged 40–64 years old. Colonoscopy complications were measured within 30 days, including colonic (ie, perforation, hemorrhage, abdominal pain), anesthesia-associated (ie, pneumonia, infection, complications secondary to anesthesia), and cardiopulmonary outcomes (ie, hypotension, myocardial infarction, stroke), adjusted for age, sex, polypectomy status, Charlson comorbidity score, region, and calendar year. Results Nationwide, 34.4% of colonoscopies were conducted with anesthesia services. Rates of use varied significantly by region (53% in the Northeast vs 8% in the West; P Conclusions The overall risk of complications after colonoscopy increases when individuals receive anesthesia services. The widespread adoption of anesthesia services with colonoscopy should be considered within the context of all potential risks.
- Published
- 2016
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