Proportion and predictors of suboptimal colonic preparation among patients who undergone elective colonoscopy at a tertiary care center, Addis Ababa, Ethiopia: a prospective cross-sectional study.
| dc.contributor.advisor | Belachew,Hiwot(Dr.) | |
| dc.contributor.advisor | Erkie,Mengistu(Dr.) | |
| dc.contributor.author | Girma,Abel | |
| dc.date.accessioned | 2025-08-13T07:59:35Z | |
| dc.date.available | 2025-08-13T07:59:35Z | |
| dc.date.issued | 2023-09 | |
| dc.description.abstract | Background:colonoscopy is an important diagnostic and therapeutic tool for various conditions affecting the colon, rectum and terminal ileum. Bowel preparation is one of the key quality indicators among others. Suboptimal bowel preparation will significantly affect safety and diagnostic yield of the procedure. To date there is no adequate information regarding the quality and outcome of colposcopy preparation as well as predictors of sub optimal preparation in our set up. Aim: -The main objective of this study wastodetermine the proportionand predictors of suboptimal bowel preparation among patients who undergone elective colonoscopy at TASH. Methods: -A prospective cross-sectional study was conducted on 282 elective colonoscopies done at TASH from March, 2023 to August 30, 2023 G.C.After informed consent,interviewer administered structured questioner was used to collect data by a trained interviewer. The edoscopist assessed the quality of preparation using Aronchick scale. The collected data was cleaned, checked for completeness, compiled, entered in to Epidata andexported to SPSS 26 for analysis. Bivariate and multivariable logistic regression analysis was conducted to identify determinants of suboptimal colonic preparation. P value< 0.05 was taken as significant. Result:-Suboptimal colonic preparation was observed in 45% of the cases with 15.2% procedure cancelation rate attributable to inadequate colonic preparation. On multivariate analysis, age more than 60 years and non-adherence to the recommended dose of castor oil were predictors of suboptimal colonic preparation while short telephone call a day before the start of preparation and taking anti diabetic medication where negative predictors of suboptimal colonic preparation. Conclusion: -This study revealed unacceptably high proportion of suboptimal bowel preparation and procedure cancellation rate. Clinical variables independently associated with quality of preparation include; old age, adherence to preparation regimen, anti-diabetic medication intake and telephone counseling. Therefore intervention targeting these predictors should be designed to improve quality of pre –colonosopic bowel preparation. | |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/6699 | |
| dc.language.iso | en_US | |
| dc.publisher | Addis Ababa University | |
| dc.subject | Colonoscopy | |
| dc.subject | Patients | |
| dc.title | Proportion and predictors of suboptimal colonic preparation among patients who undergone elective colonoscopy at a tertiary care center, Addis Ababa, Ethiopia: a prospective cross-sectional study. | |
| dc.type | Thesis |