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Open-access colonoscopy: outcomes of referrals from the emergency department

Wu, R. S. Y., Chan, S. S. W., Cheung, N. K., Graham, C. A. and Rainer, Timothy 2011. Open-access colonoscopy: outcomes of referrals from the emergency department. Colorectal Disease 13 (7) , pp. 826-828. 10.1111/j.1463-1318.2010.02301.x

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Aim  The study investigated the diagnostic outcome of colonoscopy referrals from the emergency department (ED) via an open-access system. Method A retrospective cohort study over two years was performed on all patients under 65 years referred for open-access colonoscopy by the ED in a hospital with an annual ED attendance of 140 000. Patient characteristics and presenting symptoms were retrieved. Waiting times from presentation to colonoscopy were recorded. Results Over a 2-year period, 266 patients were referred, of whom 37 defaulted, leaving 229 patients who had a colonoscopy. The mean age was 48.3 ± 11.3 (SD) and the female/male ratio was 229/125. The most frequent presenting symptoms included: rectal bleeding (n = 142, 62%), change of bowel habit (n = 47, 20.5%) and abdominal pain (n = 40, 17.5%). The median waiting time from presentation to colonoscopy was 17 (range 1–69) days. A positive colonoscopic finding was recorded in 45.4%, including colorectal cancer in 12 (5.2%). Conclusion The rate of a positive diagnoses from the ED-based colonoscopy referral service was comparable to that of the general Hong Kong population. This approach may help to reduce the waiting time for colonoscopy in a specialist colorectal clinic.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
Uncontrolled Keywords: Colonoscopy; Hong Kong; emergency medicine; emergency department; colorectal cancer; health service research
Publisher: Wiley
ISSN: 1462-8910
Date of Acceptance: 19 March 2010
Last Modified: 04 Jun 2017 09:15

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