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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
Not yet recruiting
Conditions
Upper Gastrointestinal Disorder
Registration Number
NCT06771102
Lead Sponsor
Zealand University Hospital
Brief Summary

The goal of this clinical trial is to investigate whether gastroscopies with single-use gastroscopes used bedside can reduce the time from indication to procedure compared with gastroscopies with reusable gastroscopes used in the endoscopy unit in patients referred to a subacute gastroscopy. The main question it aims to answer is:

- Is the time from indication to procedure reduced when performing the gastroscopy bedside compared with performing the gastroscopy in the endoscopy unit.

Researchers will compare bedside gastroscopies with gastrosopies in the endoscopy unit to see if the time from indication to procedure is reduced.

Participants will in the first period have gastroscopy with a reusable gastroscope in the endoscopy unit. In the second period participants will have gastroscopy with a single-use gastroscope bedside.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
180
Inclusion Criteria
  • Patients of any gender, 18 years of age or older admitted to surgical department 2 (the acute section of the surgical department) 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
Time from indication to the dischargeFrom indication to discharge, up to 3 months
Time from procedure to dischargeFrom procedure to discharge, up to 3 mounths
Duration of the procedureDuring the procedure
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 which the pathologist can use to either diagnose the patient or to reject a diagnose.

Complications to gastroscopy24 and 72 hour follow-up after procedure
30th day mortality30 days
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
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)

Trial Locations

Locations (1)

Zealand University Hospital

🇩🇰

Køge, Denmark

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