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Patient colonoscopy preparation better when educational booklet supplied
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Providing inpatient colonoscopy patients with an educational booklet on bowel preparation prior to performing the preparation increased the quality of bowel preparation. The odds of a quality bowel preparation were increased twofold on average with the educational booklet
Previous data have shown that the quality of colonoscopy bowel preparation was improved in outpatient procedures when the patients were given an educational booklet called Getting Ready for Your Colonoscopy. (The booklet was tested in outpatients by Spiegel et al at the West Los Angeles VA.) In this study, researchers at Vanderbilt University, Nashville, performed a randomized, single-blind, controlled trial to test the effects of providing inpatients with the educational booklet adapted for inpatient use and renamed Getting Ready for Your Inpatient Colonoscopy. Adequate bowel preparation (a total Boston Bowel preparation scale [BBPS] score ≥ 6 with all segment scores ≥ 2.17) was the primary outcome observed, while researchers also assessed total BBPS score, BBPS segment score, and a total BBPS score of 0.
All patients included in the study were scheduled for a colonoscopy between October 2013 and March 2014. The 85 patients total were randomly assigned to either a group of 45 patients that were given the booklet the night before the scheduled colonoscopy prior to completing the bowel preparation, or a group of 40 patients that were the controls and did not receive an educational booklet. The groups did not significantly differ regarding age, race, sex, BMI, colonoscopy or polyp history, or time of colonoscopy.
Standard bowel preparation, which included a clear liquid diet the day before the colonoscopy followed by a split dose of GoLYTELY (Polyethylene glycol 3350 with electrolytes, Braintree Laboratories, Inc.), was prescribed for all patients.
Adequate bowel preparation was observed in 62% of the patients who received the booklet, compared to 35% of the controls (P = .012).
The odds of adequate bowel preparation in patients who received the booklet were 3.14 (95% CI, 1.29-7.83) and of a higher BBPS score were 2.27 (95% CI, 1.05-4.88). after the researchers adjusted for age and history of prior colonoscopies. Overall, the mean BBPS segment score was better in the patients who received the booklet, compared to the controls (right colon, P = 0.097; transverse colon, P = .023; left colon, P = .045).
“In summary, our study demonstrates that an educational booklet on bowel preparation successfully improves the quality of inpatient colonoscopy bowel preparation. This intervention is a simple, easy to administer, and inexpensive method for significantly improving the quality of inpatient colonoscopy bowel preparation,” the researchers wrote. – by Suzanne Reist
Disclosures: The researchers report no relevant financial disclosures.
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