THE INDEX EVALUATING INDIVIDUALS' INDEPENDANCY IN ACTIVITIES OF DAILY LIVING DOES NOT SATISFACTORILY PREDICT INADEQUATE BOWEL PREPARATION IN INPATIENTS UNDERGOING COLONOSCOPY

K Triantafyllou; P Gkolfakis; A Skamnelos; G Diamantopoulou; A Dagas; G Tziatzios; K Thomopoulos; S Potamianos; D Christodoulou

doi:10.1055/s-0039-1681617

Endoscopy, Table of Contents

Endoscopy 2019; 51(04): S151-S152
DOI: 10.1055/s-0039-1681617

ESGE Days 2019 ePoster podium presentations

Friday, April 5, 2019 14:00 – 14:30: Bowel cleansing 3 ePoster Podium 1

Georg Thieme Verlag KG Stuttgart · New York

THE INDEX EVALUATING INDIVIDUALS' INDEPENDANCY IN ACTIVITIES OF DAILY LIVING DOES NOT SATISFACTORILY PREDICT INADEQUATE BOWEL PREPARATION IN INPATIENTS UNDERGOING COLONOSCOPY

Authors

K Triantafyllou

¹Hepatogastroenterology Unit, Second Department of Internal Medicine – Propaedeutic, Research Institute and Diabetes Center, Medical School, National and Kapodistrian University of Athens, ''Attikon” University General Hospital, Athens, Greece
P Gkolfakis

¹Hepatogastroenterology Unit, Second Department of Internal Medicine – Propaedeutic, Research Institute and Diabetes Center, Medical School, National and Kapodistrian University of Athens, ''Attikon” University General Hospital, Athens, Greece
A Skamnelos

²Division of Gastroenterology, University Hospital & Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece
G Diamantopoulou

³Division of Gastroenterology, Department of Internal Medicine, University Hospital of Patras, Patras, Greece
A Dagas

⁴Department of Gastroenterology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larisa, Greece
G Tziatzios

¹Hepatogastroenterology Unit, Second Department of Internal Medicine – Propaedeutic, Research Institute and Diabetes Center, Medical School, National and Kapodistrian University of Athens, ''Attikon” University General Hospital, Athens, Greece
K Thomopoulos

³Division of Gastroenterology, Department of Internal Medicine, University Hospital of Patras, Patras, Greece
S Potamianos

⁴Department of Gastroenterology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larisa, Greece
D Christodoulou

²Division of Gastroenterology, University Hospital & Faculty of Medicine, School of Health Sciences, University of Ioannina, Ioannina, Greece

Abstract

Full Text

Aims:

Katz index* assesses independancy of a person in performing activities of daily living (bathing, dressing, toileting, transfering, continence, feeding). We evaluated the use of Katz index for the prediction of inadequate bowel preparation among inpatients undergoing colonoscopy.

Methods:

Post-hoc analysis of the data from a cohort inpatients undergoing colonoscopy in 4 tertiary Greek centers. To calculate Katz index each of the aforementioned domains scores 1 point if patient performs the respective activity independantly (range 0 – 6; higher value indicates higher independancy level). We used the Area Under the Curve (AUROC) to determine Katz index discriminative ability to predict inadequate bowel prep.

Results:

Out of 261 patients (100 bedridden, 140 men, 70.7 ± 15.4 years old) 89 (34,1%) had inadequate bowel preparation (BBPS< 6). Katz index was higher among ambulatory compared to bedridden patients (p < 0.0001), but it did not differ between individuals with adequate and inadequate bowel preparation (p = 0.08). Katz index showed a low discriminative ability to predict inpatients with inadequate bowel preparation not only in the entire cohort [AUROC (95% CI)= 0.44 (0.36 – 0.52), p = 0.11 but also in the groups of ambulatory and bedridden patients [AUROC (95% CI)= 0.50 (0.39 – 0.60), p = 0.9 and 0.55 (0.43 – 0.67), p = 0.4 respectively].

Conclusions:

Katz index failed to predict satisfactorily inpatients (either ambulatory or bedridden) with inadequate bowel preparation before colonoscopy.

*Katz, S, et al. Progress in the development of the index of ADL. The Gerontologist; 1970;10, 20 – 30.