(2) It is imperative for screening physicians to be aware of the influence of sleep deprivation on procedural outcomes and to consider altering their practice accordingly. (1) Despite longer withdrawal times, being on call the night prior and performing an emergent procedure lead to a significant 24% decrease in the adenoma detection rates. For the colonoscopies performed by endoscopists who were on call only the night prior, there was no significant difference in the percent of patients screened with adenomas detected compared with controls (42 vs. The mean withdrawal time for these colonoscopies was significantly longer than that for the control procedures (15.5 vs. There was a lower percent of patients who were screened with adenomas detected in procedures performed by endoscopists who had performed emergent on-call procedures the night prior compared with the controls (30 vs. Quality metrics were retrospectively compared between two groups of post-call colonoscopies and colonoscopies performed by the same individuals not on call the night before: those performed by gastroenterologists who were only on call the night prior and those performed by gastroenterologists who performed emergent on-call procedures the night prior.īetween 1 July 2010 and 31 March 2012, 447 colonoscopies were performed by gastroenterologists who were on call only the night prior, 126 colonoscopies were performed by gastroenterologists who had completed on-call emergent procedures the night prior, and 8,734 control colonoscopies were completed. Your gift is getting people to talk and in order to catch the serial killer who left you for dead, that’s exactly what you’ll need to do. To evaluate the effect of a previous night call on the quality of screening colonoscopies performed the following day.Īverage-risk patients undergoing screening colonoscopies were included. As a cab driver working the Paris night shift, you are many things to different people. There are few studies evaluating the influence of sleep deprivation on endoscopic outcomes.
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