Predictors of inadequate bowel preparation in older patients undergoing colonoscopy: A systematic review and meta-analysis

医学 优势比 便秘 内科学 荟萃分析 置信区间 泻药 结肠镜检查 梅德林 泻药 养生 队列研究 结直肠癌 政治学 癌症 法学
作者
Yuanyuan Zhang,Lining Wang,Wenbi Wu,Shi Zhang,Min Zhang,Wen-Jing She,Qianqian Cheng,Nana Chen,Pengxia Fan,Yuxin Du,Haiyan Song,Xianyu Hu,Jiajie Zhang,Caiyan Ding
出处
期刊:International Journal of Nursing Studies [Elsevier]
卷期号:149: 104631-104631 被引量:3
标识
DOI:10.1016/j.ijnurstu.2023.104631
摘要

Factors that predict the quality of bowel preparation in older adults are unclear, and current guidelines do not provide specific recommendations.This meta-analysis aimed to identify risk factors for inadequate bowel preparation in older patients.PubMed, Embase, Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang, and VIP databases were searched from their inception to February 2023. Cohort and cross-sectional studies exploring the risk factors for inadequate bowel preparation were included in this systematic review. Odds ratio (OR) values from individual studies were pooled using fixed-effects and random-effects models. In addition, a sensitivity analysis and assessment of publication bias were performed.This meta-analysis included six studies (n = 1553) on previous abdominal surgery, six studies (n = 1494) on constipation, seven studies (n = 1505) on diabetes, eight studies (n = 2093) on non-compliance with the diet regimen, seven studies (n = 1350) on incomplete intake of laxative, and nine studies (n = 2163) on inadequate exercise during preparation. The pooled analysis showed that history of abdominal surgery (OR = 2.72; 95 % confidence interval, CI: 2.07 to 3.56), constipation (OR = 3.56, 95 % CI: 2.41 to 5.25), diabetes (OR = 2.54, 95 % CI: 1.81 to 3.57), non-compliance with the diet regimen (OR = 2.51, 95 % CI: 1.96 to 3.21), incomplete intake of laxative (OR = 2.43, 95 % CI: 1.60 to 3.67), and inadequate exercise during preparation (OR = 3.13, 95 % CI: 2.39 to 4.11) were independent risk factors for inadequate bowel preparation in older patients undergoing colonoscopy.Three comorbid factors and three behavioral factors were significantly associated with inadequate bowel preparation in older adults. This meta-analysis provides valuable information for developing predictive models of poor bowel preparation.
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