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Performance Characteristics and Technical Outcomes of Single-use Gastroscopes Used Bedside Versus Reusable Gastroscopes Used in the Endoscopy Unit Evaluated in Subacute Patients

Not Applicable
Recruiting
Conditions
Upper Gastrointestinal Disorder
Registration Number
NCT06771102
Lead Sponsor
Zealand University Hospital
Brief Summary

The aim of this study is to investigate whether single-use gastroscopes used bedside can reduce the time from indication to procedure compared with re-usable gastroscopes used at the endoscopy unit in patients referred to a subacute gastroscopy.

Participants in the first period will be scheduled for gastroscopy with a re-usable gastroscope in the endoscopy unit, whereas participants during the second period will have a gastroscopy performed at the ward (bed-side) with a single-use gastroscope.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
180
Inclusion Criteria
  • Patients of any gender, 18 years of age or older admitted to the acute section of the surgical department (Kir2) at Zealand University Hospital referred to early EGD without general anesthesia.
Exclusion Criteria
  • ASA-score of 4 or higher
  • Unstable patient
  • Suspicion of ventricular retention
  • Suspicion of active bleeders
  • Need for expert endoscopist to perform the procedure, e.g. stenting
  • Patients < 18 years of age

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Time from the indication/decision for early endoscopy to procedureFrom indication to procedure, up to two weeks
Secondary Outcome Measures
NameTimeMethod
Duration of the procedureDuring the procedure
Time from indication to the dischargeFrom indication to discharge, up to 3 months
Time from procedure to dischargeFrom procedure to discharge, up to 3 months
Did the patient need sedation or local anesthetic throat sprayDuring the procedure
Technical successFrom admission to discharge, up to 3 months

Technical success is defined as the ability to complete the procedure adequately based on the indication and guidelines.

Sufficient ability to target the biopsy if takenDuring the procedure

Successful biopsy that provides the pathologist with sufficient material to either confirm or rule out a diagnosis. If the biopsy is inadequate, the pathologist will note this in the report.

Complications to gastroscopy24 and 72 hour follow-up after procedure
Readmission30 days after procedure

Does the patient need readmission after discharge?

The necessity for a new gastroscopy, including the reasons justifying itDuring admission, up to 3 months

Did the patient need a new gastroscopy during admission? If so, what is the reason for that, according to the patient's medical record?

Endoscopists' rating of the gastroscopeRight after procedure

The endoscopist's rating of the gastroscope

Learning curve for nurses at the surgical departmentDuring the second period (one year)

Following each procedure, the nurses will complete a short questionnaire evaluating their level of comfort (from 1-5) during the various steps of the procedure.

30th day mortality30 days

Trial Locations

Locations (1)

Zealand University Hospital

🇩🇰

Køge, Denmark

Zealand University Hospital
🇩🇰Køge, Denmark
Camilla Kjelkvist-Born, MD
Principal Investigator
Marie Louise Malmstrøm, MD, PhD
Contact
malmstroem@gmail.com
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