Brooker, J.C.; Francis, H.; Fairclough, P.D.
April 2003
Gut;Apr2003 Supplement 1, Vol. 52, pA114
Academic Journal
Introduction: Good quality bowel preparation is a prerequisite for accurate colonoscopy. We perceived bowel preparation to be ess effective in hospital inpatients (i-ps), and tested whether more effective communication with ward staff would lead to better compliance and a cleaner colon. Methods: Compliance with pre-colonoscopy instructions was surveyed in consecutive i-ps and out-patients (o-ps). Exclusions were: combined OGD/colonoscopy, acromegaly, and inability to complete the questionnaire. Preparation was: day 1, restricted diet; day 2, clear liquids, 5 mg bisacodyl and Picolax (2); day 3, colonoscopy. Endoscopists scored preparation quality on visual analogue scales (perfect = 100, no prep = 0), blinded to a separately administered questionnaire assessing compliance. In phase 1, preparation instructions were telephoned to the ward 2 days before the scheduled procedure. In phase 2, additional printed instructions were stuck prominently in both the medical and nursing notes.Results: See Table. Conclusions: Compliance and preparation were better in o-ps than in i-ps. Extra written instructions failed to improve compliance or bowel preparation in i-ps. Improved compliance as well as a more effective preparation regime may be needed to improve bowel preparation in hospital i-ps, who tend to be older and generally less mobile.


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