Comparison of Factors Associated with the Neonatal Mortality Rate in Fars Province before and after Implementing the Health Section Evolution: A Retrospective Cross-Sectional Study

Background: The neonatal period or the first 28 days after birth is a critical and vulnerable time for a child period, and the mortality rate is high due to the severe problems which might happen during this period. The goal of this study was to compare the risk factors associated with the neonatal mortality rate (NMR) before and after the implementation of the health sector evolution plan (HSEP) in Fars Province, Iran. Methods: This study was a retrospective cross-sectional study. This research was conducted using the census method, and 275951 newborns’ files were studied. Variables are expressed as percentage and frequency. The chi-square test and Fisher tests was used to measure the significance level of variables. A multivariate logistic regression model was also used to estimate the odds ratio of neonatal mortality and risk factors associated with neonatal mortality. All statistical tests were performed bilaterally with P-value < 0.05 considered as significant. All tests were conducted using the software SPSS19. Results: After HSEP, risk factors of pregnancy and delivery complications were significantly reduced, and abnormalities were significantly increased (P-value < 0.001). Using multivariate logistic regression analysis, the risk of death is nine times more in gestational age below 37 weeks compared to gestational age over 37 weeks. The chances of neonatal mortality among neonates weighing less than 1000 grams are much more, and it is about 140 times more than normal weight (over 2500 grams). There was not a significant relationship between the chance of neonatal mortality and the implementation of HSEP (P-value > 0.05). Conclusion: Neonates with abnormal weight and premature neonates had the highest chance of death. Therefore, the prevention of preterm labor and low-birth-weight infants are essential factors in reducing neonatal mortality. This study suggests that improved health service quality is determinative to decrease neonatal mortality rate.

Download Full-text

Prevalence and Associated Factors of Utero-Vaginal Prolapse in AddisAbaba, Ethiopia: A Cross-Sectional Study.

10.21203/rs.3.rs-144888/v1 ◽

2021 ◽

Author(s):

Zelalem Mekuria ◽

Abdu Mengesha ◽

Girma Seyoum

Keyword(s):

Risk Factors ◽

Addis Ababa ◽

Cross Sectional Study ◽

Home Delivery ◽

Health Concern ◽

Uterovaginal Prolapse ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated

Abstract Background: Uterovaginal prolapse (UVP) is a major women’s health concern throughout the world. Globally, 2-20% of all women are affected by UVP. The mean prevalence of pelvic organ prolapse in developing countries is 19.7%. The prevalence of UVP in Ethiopia is 18.55% among all gynecological operations. UVP is a source of severe morbidity and psychological upheaval to the patient, who is often socially withdrawn and stigmatized. UVP negatively affects socioeconomic and reproductive activity of affected women. It is, therefore, of interest to study its prevalence and factors associated with the condition.Methodology: Institution-based retrospective cross-sectional study was conducted in selected Addis Ababa city governmental hospitals and the medical record charts of women admitted in the respective gynecology wards were reviewed. The medical records included in this study were those from March 2017 to February 2019 G.C. and 400 records of admitted women were randomly selected. The data were analyzed using SPSS version 24 statistical package. Bivariate and multivariate logistic regression analyses were carried out to determine factors associated with UVP. A p-value < 0.05 was considered as significant.Result: Out of the3,949 admitted women, the prevalence of UVP was 12.8%. The leading determinants of UVP were menopause (OR = 2.611 (at 95 % CI: 1.531, 3.838), age > 40 years (OR = 2.143 (at 95 % CI:1.496, 6.602), parity of > 4 (OR = 4.201 (at 95 % CI 1.652, 10.685), age at first delivery of < 20 years old (OR = 7.988(2.682, 23.792) and home delivery (OR = 1.380 (at 95 % CI:1.212, 2.572). Conclusion: The prevalence of UVP in this study was relatively high. The major risk factors of UVP were menopause, having > 4 deliveries, age > 40 years, age at first delivery < 20 years old and home delivery. Therefore, the findings of this investigation, especially identification of risk factors of UVP, could serve as a basis for taking steps for preventing or reducing the prevalence of UVP and related complications.

Download Full-text

Neonatal mortality rate (NMR) in intensive care unit (ICU) of Ardabil city hospitals and related factors

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20184502 ◽

2018 ◽

Vol 7 (11) ◽

pp. 4531

Author(s):

Mehrdad Mirzarahimi ◽

Afsaneh Enteshari- Moghaddam ◽

Sepideh Khademi

Keyword(s):

Mortality Rate ◽

Neonatal Mortality ◽

Social Systems ◽

Cross Sectional Study ◽

City Hospital ◽

Neonatal Mortality Rate ◽

Biochemical Tests ◽

Related Factors ◽

Cross Sectional ◽

Causes Of Mortality

Background: Neonatal mortality rate (NMR) is one of the important parameters in assessing quality of life in societies. NMR are often used as a standard index for evaluation health, education and social systems, nutritional status and health programs for neonates in countries and the first step in reducing mortality rate and promoting the level of this indicator is to identify the causes of mortality. Therefore, this study was conducted to determine the NMR in new born infants admitted to the ICU of Ardabil city hospitals.Methods: This study was a descriptive cross-sectional study that has been done on 184 dead neonates in Ardabil city hospital during 2016-2017. The necessary information was extracted from the hospital records of neonates and entered in a provided checklist and then analyzed by statistical methods such as tables in SPSS version 19.Results: The mortality rate of hospitalized infants in this research was 6.6%. Of all patients, in 65.2% CBC were impaired and 58.7% of patients had impaired serologic and biochemical tests. 68.5% of patients had prematurity, 62.5% RDS and 20.7% had congenital anomalies.Conclusions: Prematurity, RDS and congenital anomalies are the most important causes of NMR and we should programing to decreasing the NMR rate in future.

Download Full-text

Clinical Symptoms, Pathogen Spectrum, Risk Factors and Antibiogram of Suspected Neonatal Sepsis Cases in Tertiary Care Hospital of Southern Part of Nepal: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.5094 ◽

2020 ◽

Vol 58 (232) ◽

Author(s):

Bijay Raj Pandit ◽

Ashish Vyas

Keyword(s):

Risk Factors ◽

Mortality Rate ◽

Neonatal Sepsis ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Neonatal Mortality Rate ◽

Cross Sectional

Introduction: Neonatal mortality rate is highest in sub-Saharan Africa and Southern Asia region. The present study is undertaken to find out prevalence of neonatal sepsis, recognize bacterial pathogens, neonatal risk factors, major symptoms, and their antibiotic sensitivity pattern in neonates in tertiary care hospital in southern Nepal. Methods: A descriptive cross-sectional study was carried out in a tertiary care hospital from 2nd January 2017 to 20th February 2018 after approval (Ref: 125/2016-17). The sample size was calculated and convenience sampling was done. Data were collected from hospital records and microbiology laboratory and analyzed by Statistical Package for Social Sciences. Results: Out of 1200 clinically suspected cases, early-onset neonatal sepsis was seen in 290 (79.89%). A positive culture was seen in 363 (30.25%) where maximum bacterial growth was found in 254 (69.98%) males. Preterm gestational age was seen in 265 (73%), low birth weight 284 (78.23%), a vaginal delivery mode in 279 (76.90%), and delivery in hospital in 232 (63.91%). Likewise, Staphylococcus aureus in 229 (63.08%) was found maximum followed by Klebsiella pneumoniae in 48(13.22%). The major symptom observed was Respiratory distress in 245 (20.41%) while culture positive was seen in poor cry in 94 (53.10%). Mainly effective antibiotics against Gram-positive and gram-negative organisms were Linezolid in 250 (94%) and Imipenem in 46 (90.19%), whereas Penicillin-G in 254 (99.21%) and Ampicillin in 38 (94.74%) found resistance towards organisms respectively. Conclusions: The high prevalence of neonatal sepsis in our study reflects a huge challenge to reduce the neonatal mortality rate to 12 by 2030 of Sustainable Development Goals. Bacterial isolates exhibited higher resistance towards commonly used antibiotics.

Download Full-text

Prevalence and potential risk factors associated with methicillin resistant Staphylococcus aureus infection in Dairy farms

Mansoura Veterinary Medical Journal ◽

10.35943/mvmj.2020.21.2.0204 ◽

2020 ◽

Vol 21 (2) ◽

pp. 39-47

Author(s):

Mohamed El-Fateh ◽

Adel El-Gohary ◽

Mona Elsayed ◽

Fatma El-Gohary

Keyword(s):

Risk Factors ◽

Staphylococcus Aureus ◽

Environmental Samples ◽

Methicillin Resistant Staphylococcus Aureus ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Potential Risk Factors

Objective: A cross sectional study was conducted between June 2017 and August 2018 in around Dakahlia governorate to identify Methicillin resistant Staphylococcus aureus (MRSA) and to determine risk factors associated with the occurrence of mastitis in dairy cows. Design: Cross sectional study Animals and samples: 130 dairy cattle (744 samples) and 181 environmental samples (36 bedding, 37 bulk tank milk BTM, 27 feed troughs, 27 water troughs, 27 milk linear and 27 worker’s nasal swabs), with a total of 925 samples were studied. Procedures: Three hundred and seventy-two quarters were examined to detect clinical and subclinical mastitis by physical examinations and California mastitis test. In addition, bacteriological isolation and identification of Staphylococcus aureus and MRSA were carried on the above milk samples of above mentioned quarters, teat swabs and environmental samples. Results: The overall prevalence of Staphylococcus aureus and MRSA was 59.4 and 22.4, respectively. The MRSA were more prevalent in mastitic quarter (X2 = 31.146, P-value = 0.000), Holstein Friesian breed (P-value = 0.021), Old aged dairy cattle (>8 years) (P-value = 0.000), Multiparous cows (P-value = 0.000), large herd size (>=2000) (P-value = 0.000). Conclusion and clinical relevance: The present result indicates that MRSA is a major cause of mastitis in dairy farms at northern Egypt, where one of the key elements for controlling its spreading depends mainly on determining its potential risk factors responsible for its existence.

Download Full-text

ANALISIS FAKTOR SOSIODEMOGRAFI KELAHIRAN PREMATUR DI RUMAH SAKIT UMUM YK MADIRA PALEMBANG

Jurnal Medikes (Media Informasi Kesehatan) ◽

10.36743/medikes.v7i2.241 ◽

2020 ◽

Vol 7 (2) ◽

pp. 315-326

Author(s):

Rika Ariana ◽

Fika Minata Wathan

Keyword(s):

Preterm Birth ◽

Mortality Rate ◽

Neonatal Mortality ◽

Premature Birth ◽

Health Workers ◽

P Value ◽

Preventive Action ◽

Neonatal Mortality Rate ◽

Cross Sectional ◽

History Of

The one of Sustainable Development Goals (SDGs) in goals 3.2 are reducing Neonatal Mortality Rate to 12/1,000 live births. Preterm birth contributes greatly to neonatal morbidity and mortality. Based on the results of a review of the medical records of YK Madira Hospital in Palembang shows an increase the prevalence of preterm birth in 2018 of 5.7% and in 2019 an increase of 8.0%. The research aim to determine the relationship between risk factors on preterm birth. This research is an analytical survey, cross-sectional design using secondary with a systematic random sampling totaling 202 samples. Data analysis was performed using chi-square test for bivariate, logistic regression for multivariate, the results showed that there was a significant relationship between age (p-value = 0.000 OR = 3.4; 95% CI: 1.82-6, 39), education (p-value = 0.009 OR = 2.4; 95% CI: 1.28-4.58), history of preterm birth (p-value = 0.008 OR = 2.7; 95% CI: 1, 35-5.54), ANC examination (p-value = 0.031 OR = 2.5; 95% CI: 1.15-5.72) smoking variable obtain p-value = 1,000 (p>0.05). Conclusion: The most dominan variabel affecting preterm birth are age and history of preterm birth. These results can be used as a basis for information so that health workers can further improve communication, information,education on reproductive health in prospective brides and also groups of mother at high risk for premature birth as a promotive, preventive action thtat can prevent premature birth to support the achievement of government program targets in reducing the neonatal mortality rate in Indonesia.

Download Full-text

Assessment of socio-clinical profile of neonates admitted in sick neonatal care unit of tertiary care hospital: Odisha

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20173986 ◽

2017 ◽

Vol 5 (9) ◽

pp. 4077 ◽

Cited By ~ 2

Author(s):

Dhaneswari Jena ◽

R. M. Tripathy ◽

Srabani Pradhan ◽

Geetanjali Sethi

Keyword(s):

Mortality Rate ◽

Neonatal Mortality ◽

Tertiary Care ◽

Birth Asphyxia ◽

Cross Sectional Study ◽

Clinical Profile ◽

Care Hospital ◽

Neonatal Mortality Rate ◽

Single Digit ◽

Cross Sectional

Background: Neonatal mortality rate of 29 and early neonatal mortality rate is 20 which contributes 53% of IMR. India targets to achieve single digit under 5 and neonatal death by 2030. Early identification and management of common morbidities among neonates is desirable for improving the survival. Therefore, this study was conducted with the aim of assessing socio-clinical profile of neonates admitted to SNCU and its impact on morbidities of newborn from different strata.Methods: A cross sectional study was conducted in SNCU of MKCG medical college from January 2016 to December 2016. Convenient sampling was done. Data was collected using pre-designed semi structured questionnaire.Results: Total 752 study subjects were taken. Most common cause of admission was sepsis (47.4%) followed by prematurity (27.8%), birth asphyxia (13.9%) and IUGR (7.5%). Majority of out born neonates were admitted for sepsis (87.9%) while in born neonates for birth asphyxia (81.9%). All the morbidities were significantly higher among early neonates, babies born to illiterate mother and those with inadequate antenatal check-up.Conclusions: Majority of babies were out born, may be due to delay and lack of quality new born care in the referring facilities. Sepsis was most common preventable morbidity by simple intervention of clean delivery practices which should be promoted. Birth asphyxia can be reduced by adequate skill development training of the staffs and minimising the 3 delays maternal care.

Download Full-text

Perfil epidemiológico dos pacientes com sepse de foco abdominal

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963.2019.240403 ◽

2019 ◽

Vol 13 ◽

Author(s):

Natasha Varjão Volpáti ◽

Patricia Rezende Do Prado ◽

Luís Eduardo Maggi

Keyword(s):

Risk Factors ◽

Intensive Care Unit ◽

Septic Shock ◽

Intensive Care ◽

Cross Sectional Study ◽

P Value ◽

Cross Sectional ◽

Factors Associated ◽

Factores De Riesgo ◽

Terapia Intensiva

Objetivo: identificar o perfil epidemiológico, os fatores associados ao óbito e nortear as intervenções de enfermagem frente aos pacientes com sepse de foco abdominal. Método: trata-se de um estudo quantitativo, descritivo, transversal, realizado com 40 pacientes internados em uma em uma Unidade de Terapia Intensiva. Realizou-se a associação com o óbito por meio dos testes de qui-quadrado de Pearson e exato de Fisher. Apresentaram-se os resultados em forma de tabelas. Resultados: registra-se que, dos 40 (100%) pacientes, 57,5% eram do sexo masculino, 67,5% tinham um diagnóstico inicial pertencente ao sistema gastrointestinal. Elencam-se as variáveis que apresentaram a associação com o óbito nesta UTI: idade maior a 60 anos, que, embora representasse apenas 22,5% da amostra, respondeu por, aproximadamente, 90% das mortes (p-valor 0,005) e pacientes que foram classificados com choque séptico, já que 56,7% dos 75% foram a óbito (p-valor 0,04). Conclusão: entende-se que os fatores de risco associados ao óbito nos pacientes com sepse de foco abdominal na UTI estão relacionados com idade maior a 60 anos e com choque séptico. Descritores: Sepse; Fatores de Risco; Mortalidade; Unidade de Terapia Intensiva; Enfermagem; Perfil Epidemiológico.Abstract Objective: to identify the epidemiological profile, the factors associated with death, and to guide nursing interventions in patients with sepsis of abdominal focus. Method: this is a quantitative, descriptive, cross-sectional study of 40 patients hospitalized in one in an Intensive Care Unit. The association with death was performed using Pearson's chi-square test and Fisher's exact test. Results were presented in the form of tables. Results: it was recorded that of the 40 (100%) patients, 57.5% were male, 67.5% had an initial diagnosis belonging to the gastrointestinal system. The variables that showed association with death in this ICU were: age greater than 60 years, which, although representing only 22.5% of the sample, accounted for approximately 90% of the deaths (p-value 0.005) and patients which were classified as septic shock, since 56.7% of the 75% died (p-value 0.04). Conclusion: it is understood that the risk factors associated with death in patients with sepsis of abdominal focus in the ICU are related to age greater than 60 years and with septic shock. Descriptors: Sepsis; Risk Factors; Mortality; Intensive Care Unit; Nursing; Profile Epidemiological.Resumen Objetivo: identificar el perfil epidemiológico, los factores asociados al óbito y orientar las intervenciones de enfermería frente a los pacientes con sepsis de foco abdominal. Método: se trata de un estudio cuantitativo, descriptivo, transversal, realizado con 40 pacientes internados en una Unidad de Terapia Intensiva. Se realizó la asociación con el óbito por medio de las pruebas de chi-cuadrado de Pearson y exacto de Fisher. Se presentaron los resultados en forma de tablas. Resultados: se registra que, de los 40 (100%) pacientes, el 57,5% eran del sexo masculino, el 67,5% tenían un diagnóstico inicial perteneciente al sistema gastrointestinal. Se identifican las variables que presentaron la asociación con el óbito en esta UTI: edad mayor a 60 años, que, aunque representaba apenas el 22,5% de la muestra, respondió por aproximadamente el 90% de las muertes (p-valor 0,005) y pacientes que fueron clasificados con shock séptico, ya que el 56,7% del 75% fue la muerte (p-valor 0,04). Conclusión: se entiende que los factores de riesgo asociados al óbito en los pacientes con sepsis de foco abdominal en la UTI están relacionados con edad mayor a 60 años y con shock séptico. Descriptors: Sepsis; Factores de riesgo; Mortalidad; Intensive Care Unit; Enfermería; Perfil Epidemiológico.

Download Full-text

Risk Factors Associated with Bedbug (Cimex spp.) Infestations Among Hong Kong Households: A Cross-Sectional Study

10.21203/rs.3.rs-80113/v2 ◽

2021 ◽

Author(s):

Hin Chung Eddy Fung ◽

Hung Wong ◽

Siu Wai Chiu ◽

Jerome Ho Lam Hui ◽

Hon Ming Lam ◽

...

Keyword(s):

Risk Factors ◽

Hong Kong ◽

Tertiary Education ◽

Cross Sectional Study ◽

Vulnerable Groups ◽

Bivariate Analysis ◽

P Value ◽

Cross Sectional ◽

Factors Associated ◽

Residential Units

Abstract To investigate the risk factors associated with bedbug infestations among Hong Kong households, self-reported questionnaires in Chinese were distributed online between June 2019 to July 2020. The questionnaire collected data on participants’ sociodemographics, history of bedbug infestation, and housing situation. Among the 663 participants who completed the questionnaire, 422 (63.7%) have experienced bedbug infestations in the past year, they were concentrated around the Kowloon region. Weighted bivariate and multivariate binary logistic regression were performed to identify the statistically significant (p-value <0.05) factors associated with bedbug infestations. Bivariate analysis shows a positive correlation between the number of reported dilapidated housing features and bedbug infestation. For multivariate analysis, those aged 45-64 (OR=2.53, 95% CI 1.30-4.91), have primary education or below (OR=9.43, 95% CI 3.12-28.44), and monthly household income ≤HKD30,000 (OR=1.69, 95% CI 1.15-2.5) were more likely to have bedbug infestation compared to their respective reference groups, i.e., ≥65, tertiary education, and >HKD30,000; housing risk factors identified are living in subdivided flats (OR=16.53, 95% CI 1.01-269.72), crowded household (OR=1.55, 95% CI 1.06-2.28), having second-hand furniture (OR=2.97, 95% CI 1.16-7.58), housing cleanliness issues (OR=2.66, 95% CI 1.13-6.25), and presence of bedbugs in neighbouring residential units (OR=3.32, 95% CI 1.57-7.04) or on the streets (OR=1.9, 95% CI 1.12-3.23). This study has identified lower income, lower education level, crowded household, living in subdivided flats, and certain dilapidated housing features to be risk factors of bedbug infestations; efforts and policies should prioritise vulnerable groups and focus on addressing the housing risk factors identified in this study.

Download Full-text

Characteristics and risk factors associated with stroke subtypes among adult patients admitted to stroke unit of JUMC

Current Hypertension Reviews ◽

10.2174/1573402115666191121120228 ◽

2019 ◽

Vol 15 ◽

Author(s):

Bekalu Getachew Gebreegziabher ◽

Tesema Etefa Birhanu ◽

Diriba Dereje Olana ◽

Behailu Terefe Tesfaye

Keyword(s):

Risk Factors ◽

Stroke Unit ◽

Medical Center ◽

Data Entry ◽

Public Health Problem ◽

Cross Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Factors Associated ◽

Stroke Subtypes

Background: Stroke is a great public health problem in Ethiopia. According to reports, in-hospital stroke mortality was estimated to be 14.7% in Ethiopia. Despite this, in this country researches done on factors associated with stroke sub-types were inadequate. Objective: To assess the Characteristics and risk factors associated with stroke sub-types among patients admitted to JUMC. Methods and materials: A retrospective cross sectional study was conducted from May 2017 to May 2018 in stroke unit of Jimma University Medical Center. A total of 106 medical charts of patients diagnosed with stroke were reviewed. Checklist comprising of relevant variables was used to collect data. SPSS version 21 was employed for data entry and analysis. Chi-square test was used to point-out association and difference among stroke sub-types. The data was presented using text, tables and figures. Result: From a total of 106 patients, 67(63.2%) were men. The mean ± SD of age was 52.67±12.46 years, and no significant association was found. Of all the patients, 59(55.6%) had ischemic strokes and 47(44.4%) had hemorrhagic strokes. The most common risk factor in the patients was alcohol use with a prevalence of 69.9%. Of all the risk factors, only sex, cigarettes smoking and dyslipidemia were significantly associated to sub-types of stroke. Conclusion: Ischemic stroke was the most common subtype of stroke. Sex of patient, cigarette smoking and dyslipidemia are significantly associated with the two stroke subtypes.

Download Full-text

Risk Factors of Inadequate Bowel Preparation for Screening Colonoscopy

Journal of Clinical Medicine ◽

10.3390/jcm10122740 ◽

2021 ◽

Vol 10 (12) ◽

pp. 2740

Author(s):

Efrat L. Amitay ◽

Tobias Niedermaier ◽

Anton Gies ◽

Michael Hoffmeister ◽

Hermann Brenner

Keyword(s):

Risk Factors ◽

Bowel Preparation ◽

Sociodemographic Factors ◽

Cross Sectional Study ◽

Screening Colonoscopy ◽

Cross Sectional ◽

Factors Associated ◽

Screening Practice ◽

Abdominal Symptoms ◽

Inadequate Bowel Preparation

The success of a colonoscopy in detecting and removing pre-cancerous and cancerous lesions depends heavily on the quality of bowel preparation. Despite efforts, 20–44% of colonoscopy participants have an inadequate bowel preparation. We aimed to assess and compare risk factors for inadequate bowel preparation and for the presence of advanced colorectal neoplasms in routine screening practice. In this cross-sectional study, among 8125 participants of screening colonoscopy in Germany with a comprehensive assessment of sociodemographic factors, lifestyle and medical history, we examined factors associated with inadequate bowel preparation and with findings of advanced neoplasms using adjusted log-binomial regression models. Among the identified risk factors assessed, three factors were identified that were significantly associated with inadequate bowel preparation: age ≥ 70 years (adjusted prevalence ratios, aPR, 1.50 95%CI 1.31–1.71), smoking (aPR 1.29 95%CI 1.11–1.50) and abdominal symptoms (aPR 1.14 95%CI 1.02–1.27). The same risk factors were also associated with the prevalence of advanced neoplasms in our study (aPR 1.72, 1.62 and 1.44, respectively). The risk factors associated with inadequate bowel preparation in this study were also associated with a higher risk for advanced neoplasms. Inadequate bowel preparation for colonoscopy might lead to missed colorectal cancer (CRC) precursors and the late diagnosis of CRC. People at high risk of advanced neoplasms are in particular need of enhanced bowel preparation.

Download Full-text