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Toshihiro Nishizawa 2 Articles
Risk Factors for Prolonged Hospital Stay after Endoscopy
Toshihiro Nishizawa, Shuntaro Yoshida, Osamu Toyoshima, Tatsuya Matsuno, Masataka Irokawa, Toru Arano, Hirotoshi Ebinuma, Hidekazu Suzuki, Takanori Kanai, Kazuhiko Koike
Clin Endosc 2021;54(6):851-856.   Published online March 16, 2021
DOI: https://doi.org/10.5946/ce.2020.292
AbstractAbstract PDFPubReaderePub
Background
/Aims: The recovery room used after endoscopy has limited capacity, and an efficient flow of the endoscopy unit is desired. We investigated the duration of hospital stay after endoscopy and the risk factors for prolonged hospital stay among outpatients.
Methods
We retrospectively studied consecutive patients who underwent esophagogastroduodenoscopy or colonoscopy at the Toyoshima Endoscopy Clinic. We collected data on age, sex, body weight, midazolam and pethidine dosage, respiratory depression during endoscopy, and duration of hospital stay after endoscopy (scope out to check out). Risk factors for prolonged hospital stay (>100 minutes) were identified using multiple logistic regression analysis.
Results
We enrolled 3,898 patients, including 3,517 (90.2%) patients tested under sedation and 381 (9.8%) patients tested without sedation. Overall, 442 (11.3%) patients had prolonged stay (>100 min). The mean time difference between sedation group and non-sedation group was 44.2 minutes for esophagogastroduodenoscopy and 39.1 minutes for colonoscopy. Age (odds ratio [OR], 1.025; 95% confidence interval [CI], 1.014−1.036), female sex (OR, 1.657; 95% CI, 1.220−2.249), and midazolam dose (OR, 1.019; 95% CI, 1.013−1.026) were independently associated with prolonged hospital stay after esophagogastroduodenoscopy, with similar results for colonoscopy.
Conclusions
Old age, female sex, and midazolam dose were independent risk factors for prolonged hospital stay after endoscopy.

Citations

Citations to this article as recorded by  
  • Drugs used for sedation in gastrointestinal endoscopy
    Jun Kyu Lee
    Journal of the Korean Medical Association.2022; 65(11): 735.     CrossRef
  • TXI (Texture and Color Enhancement Imaging) for Serrated Colorectal Lesions
    Toshihiro Nishizawa, Osamu Toyoshima, Shuntaro Yoshida, Chie Uekura, Ken Kurokawa, Munkhbayar Munkhjargal, Miho Obata, Tomoharu Yamada, Mitsuhiro Fujishiro, Hirotoshi Ebinuma, Hidekazu Suzuki
    Journal of Clinical Medicine.2021; 11(1): 119.     CrossRef
  • 3,507 View
  • 89 Download
  • 2 Web of Science
  • 2 Crossref
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The "Two-Sword Fencing" Technique in Endoscopic Submucosal Dissection
Toshihiro Nishizawa, Toshio Uraoka, Yasutoshi Ochiai, Hidekazu Suzuki, Osamu Goto, Ai Fujimoto, Tadateru Maehata, Takanori Kanai, Naohisa Yahagi
Clin Endosc 2015;48(1):85-86.   Published online January 31, 2015
DOI: https://doi.org/10.5946/ce.2015.48.1.85
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Citations

Citations to this article as recorded by  
  • Clinical benefit of the multibending endoscope for gastric endoscopic submucosal dissection: a randomized controlled trial
    Koichi Hamada, Yoshinori Horikawa, Yoshiki Shiwa, Kae Techigawara, Takayuki Nagahashi, Daizo Fukushima, Shinya Nishida, Ryota Koyanagi, Koichiro Kawano, Noriyuki Nishino, Michitaka Honda
    Endoscopy.2021; 53(07): 683.     CrossRef
  • Long-Term Outcomes of Endoscopic Submucosal Dissection for Superficial Esophageal Squamous Cell Carcinoma
    Toshihiro Nishizawa, Hidekazu Suzuki
    Cancers.2020; 12(10): 2849.     CrossRef
  • Usefulness of a multibending endoscope in gastric endoscopic submucosal dissection
    Koichi Hamada, Yoshinori Horikawa, Ryota Koyanagi, Yoshiki Shiwa, Kae Techigawara, Shinya Nishida, Yujiro Nakayama, Michitaka Honda
    VideoGIE.2019; 4(12): 577.     CrossRef
  • Is the Double Channel Gastroscope Useful in Endoscopic Mucosal Resection for Large Sessile Colon Polyps?
    Kwang An Kwon
    Clinical Endoscopy.2015; 48(2): 89.     CrossRef
  • 5,673 View
  • 53 Download
  • 4 Web of Science
  • 4 Crossref
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