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Factors Affecting Recovery Time after Sedation for Upper Gastrointestinal Endoscopy

Chonnam Medical Journal 2020년 56권 3호 p.191 ~ 195
진화정, 신민호, 명은,
소속 상세정보
진화정 ( Jin Hwa-Jung ) - Chonnam National University Graduate School Department of Public Health
신민호 ( Shin Min-Ho ) - Chonnam National University Medical School Department of Preventive Medicine
명은 ( Myung Eun ) - Chonnam National University Hospital Department of Internal Medicine

Abstract


The purpose of this study was to investigate factors affecting recovery time after sedation for upper gastrointestinal endoscopy. The study population included 1310 patients in the national gastric cancer screening program who received sedation for upper gastrointestinal endoscopy from April 15, 2015 to December 31, 2018. Multivariate regression analysis was performed to identify factors related to recovery time. The mean recovery time after examination was 51.2 minutes (SD=13.3). Patients with a history of hypertension had a recovery time 2.59 minutes shorter than that of patients without hypertension (p=0.006, Bonferroni-corrected p=0.108). Patients with a history of stroke had a recovery time 9.41 minutes longer than that of patients without stroke (p=0.007, Bonferroni-corrected p=0.124). Patients who received 3 mg midazolam had a recovery time 2.99 minutes longer than that of patients received 2 mg (p=0.001, Bonferroni-corrected p=0.010), and patients who received less than 6 cc of propofol had a recovery time 2.90 minutes longer than those that of patients received 7-12 cc of propofol (p<0.001, Bonferroni-corrected p=0.005). These results suggest that receiving high doses of midazolam and having a history of stroke are associated with longer recovery times. Patients meeting these criteria should be managed carefully after sedation for upper gastrointestinal endoscopy.

키워드

Conscious Sedation; Endoscopy; Gastrointestinal; Midazolam

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