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World J Gastrointest Endosc. Oct 16, 2013; 5(10): 502-507
Published online Oct 16, 2013. doi: 10.4253/wjge.v5.i10.502
Published online Oct 16, 2013. doi: 10.4253/wjge.v5.i10.502
Post-Anaesthetic Discharge Scoring System to assess patient recovery and discharge after colonoscopy
Lucio Trevisani, Viviana Cifalà, Giuseppe Gilli, Vincenzo Matarese, Angelo Zelante, Sergio Sartori, Digestive Endoscopy, Department of Medicine, University Hospital “S. Anna”, 44124 Cona (FE), Italy
Lucio Trevisani, Modulo Dipartimentale di Endoscopia Digestiva, Azienda Ospedaliero-Universitaria “Arcispedale S. Anna”, 44124 Cona (FE), Italy
Author contributions: Trevisani L, Cifalà V, Zelante A and Matarese V performed the colonoscopies; Gilli G analyzed the data; Trevisani L and Sartori S designed the study and wrote the manuscript.
Correspondence to: Lucio Trevisani, MD, Digestive Endoscopy, Department of Medicine, University Hospital “S. Anna”, Via A. Moro 8, 44124 Cona (FE), Italy. tvl@unife.it
Telephone: +39-532-237558 Fax: +39-532-236932
Received: June 18, 2013
Revised: August 13, 2013
Accepted: August 20, 2013
Published online: October 16, 2013
Revised: August 13, 2013
Accepted: August 20, 2013
Published online: October 16, 2013
Core Tip
Core tip: About 220 consecutive outpatients undergoing colonoscopy under sedation were enrolled to investigate whether the Post-Anaesthetic Discharge Scoring System (PADSS) is a safe clinical assessment for earlier patient discharge after colonoscopy. The patients were assigned to two groups: in Control-group (110 subjects) discharge decision was based on the clinical assessment; in PADSS-group (110 subjects) discharge decision was based on the modified PADSS. Recovery from sedation was faster in PADSS-group than in Control-group (58.75 min vs 95.14 min, P < 0.001). Recovery time resulted shorter than 60 min in 39 patients in PADSS-group (37.5%), and in no patient in Control-group (P < 0.001).