Indicadores de calidad de colangiopancreatografía retrógada endoscópica en un hospital nivel III asociados al desarrollo de pancreatitis aguda post-cpre

Objetivo: Evaluar la asociación entre los indicadores de calidad de colangiopancreatografía retrógada endoscópica (CPRE) y desarrollo de pancreatitis aguda post-CPRE en el Hospital Regional Lambayeque durante el período 2016–junio 2017. Material y métodos: estudio observacional, transversal analítico, retrospectivo. Población censal 539 y muestra 358. Se evaluaron historias clínicas usando un checklist de indicadores de calidad de “The American Society for Gastrointestinal Endoscopy (ASGE)”. Se usó media y desviación estándar para la edad y frecuencias absolutas y porcentajes para las demás variables. Se evaluó el porcentaje de cumplimiento de cada indicador. Se encontró la asociación entre indicadores de calidad y el desarrollo de pancreatitis usando razones de prevalencia (IC95%) y X2(p<0,05). Resultados: La edad promedio es 52,24+20,168, el 66,5% son mujeres. 98,3% de las CPREs tiene indicación apropiada; 0,3% no tiene consentimiento informado completo; 15,38% tuvo administración de antibiótico adecuada; 92,2% fueron realizadas por un endoscopista capacitado; en 96,9% se logró la canulación profunda, ninguno tuvo medición del tiempo de fluoroscopio, 65,1% logró extracción de cálculos <1cm, 95,5% logró la colocación de stent; ninguna tuvo reporte completo y en el 98,5% los efectos adversos fueron documentados. La tasa de pancreatitis fue 7%, de perforación 0,6% y de hemorragia 2,5%. Solo el 3,9% tuvo control en >14 días. Conclusiones: No existe asociación entre los indicadores de calidad de CPRE y el desarrollo de pancreatitis. No se cumplen todos los criterios de calidad. La pancreatitis post-CPRE tiene más posibilidad de presentarse en mujeres, pero menos en mayores de 65 años.

Appropriate use of colonoscopy in Nigeria: a retrospective study using the American Society of Gastrointestinal Endoscopy (ASGE) 2012 guidelines

PAMJ - One Health ◽

10.11604/pamj-oh.2020.2.21.24752 ◽

2020 ◽

Vol 2 ◽

Author(s):

Emuobor Aghoghor Odeghe ◽

Aderemi Omololu Oluyemi ◽

Oluwafunmilayo Funke Adeniyi

Keyword(s):

Retrospective Study ◽

Appropriate Use ◽

Tu1020 A Pragmatic Evaluation of Targets Set by the American Society for Gastrointestinal Endoscopy for ERCP Priority Quality Indicators in a Cancer Population

10.1016/j.gie.2017.03.1250 ◽

2017 ◽

Vol 85 (5) ◽

pp. AB542-AB543

Author(s):

Tomas DaVee ◽

Aman Deep ◽

Samreen Khuwaja ◽

Gandhi Lanke ◽

Graciela M. Nogueras-González ◽

...

Keyword(s):

Quality Indicators ◽

The American Society of Gastrointestinal Endoscopy 1987 Postgraduate Course

Journal of Clinical Gastroenterology ◽

10.1097/00004836-198704000-00034 ◽

1987 ◽

Vol 9 (2) ◽

pp. 247

Author(s):

&NA;

Keyword(s):

Az endoszkópos regiszterek szerepe a minőségi betegellátásban. Az új magyar Endoszkópos Retrográd Cholangiopancreatographia (ERCP) Regiszter első eredményei

Orvosi Hetilap ◽

10.1556/650.2018.31145 ◽

2018 ◽

Vol 159 (37) ◽

pp. 1506-1515 ◽

Cited By ~ 1

Author(s):

Dániel Pécsi ◽

Péter Hegyi ◽

Andrea Szentesi ◽

Szilárd Gódi ◽

Ferenc Pakodi ◽

...

Keyword(s):

Quality Indicators ◽

Continuous Monitoring ◽

Late Complications ◽

First Year ◽

Free Text ◽

Data Collecting ◽

Clinically Significant ◽

American Society ◽

Collecting System

Abstract: Introduction: The continuous monitoring of quality indicators in gastrointestinal endoscopy has become an essential requirement nowadays. Most of these data cannot be extracted from the currently used free text reports, therefore a structured web-based data-collecting system was developed to record the indicators of pancreatobiliary endoscopy. Aim: A structured data-collecting system, the ERCP Registry, was initiated to monitor endoscopic retrograde cholangiopancreatography (ERCP) examinations prospectively, and to verify its usability. Method: From January 2017, all ERCPs performed at the First Department of Medicine, University of Pécs, have been registered in the database. In the first year, the detailed data of 595 examinations were entered into the registry. After processing these data, the testing period of the registry is now finished. Results: On 447 patients, 595 ERCPs were performed. The success rate of cannulation is 93.8% if all cases are considered. Difficult biliary access was noted in 32.1% of patients with native papilla, and successful cannulation was achieved in 81.0% of these cases during the first procedure. Post-ERCP pancreatitis was observed in 13 cases (2.2%), clinically significant post-papillotomy bleeding was registered in 2 cases (0.3%), while 27 patients (4.5%) developed temporary hypoxia during the procedure. 30-day follow-up was successful in 75.5% of the cases to detect late complications. All of the quality indicators determined by the American Society of Gastrointestinal Endoscopy (ASGE) were possible to monitor with the help of the registry. Our center already complies with most of these criteria. Conclusions: Continuous monitoring of the quality indicators of endoscopic interventions are not supported by the current hospital information system but it became possible with our registry. The ERCP Registry is a suitable tool to detect the quality of patient care and also useful for clinical research. Several endoscopy units have joined already this initiative and it is open for further centres through our web page ( https://tm-centre.org/hu/regiszterek/ercp-regiszter/ ). Orv Hetil. 2018; 159(37): 1506–1515.