Influencing factors for hypoxemia during painless gastrointestinal endoscopy in patients with COVID-19
10.3760/cma.j.cn131073.20240120.01002
- VernacularTitle:新型冠状病毒感染患者无痛消化内镜诊疗术中低氧血症的影响因素
- Author:
Wenxuan JI
1
;
Xin LIU
;
Ju GAO
Author Information
1. 徐州医科大学麻醉学院，徐州 221004
- Keywords:
COVID-19;
Endoscopy;
Hypoxemia;
Risk factors;
Protective factors
- From:
Chinese Journal of Anesthesiology
2024;44(10):1160-1164
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To identify the risk factors for hypoxemia during painless gastrointestinal endoscopy (PGIE) in patients with COVID-19.Methods:Clinical data of COVID-19 patients who underwent PGIE in our hospital from December 2022 through April 2023 were retrospectively collected. The patients were divided into hypoxemia group ( n=201) and non-hypoxemia group ( n=747) based on the occurrence of intraoperative hypoxemia. The logistic regression analysis was used to identify the influencing factors for intraoperative hypoxemia. Results:There were significant differences in age ratio, American Society of Anesthesiologists Physical Status classification ratio, ratio of smoking degree, ratio of hypertension course, ratio of PGIE type, period of implementing PGIE, MAP before induction, time to diagnosis of COVID-19, COVID-19 classification ratio and cough ratio between the two groups ( P<0.05). Multivariate logistic regression analysis showed that age 51-65 yr, age >65 yr, smoking degree-mild, smoking degree-moderate to severe, COVID-19 related signs and symptoms-cough not healed until PGIE, COVID-19-related signs and symptoms-cough healed until PGIE were independent risk factors for intraoperative hypoxemia; the PGIE type-colonoscopy, time to diagnosis of COVID-19 and PGIE 43-56 days, time to diagnosis of COVID-19 and PGIE 57-70 days, and time to diagnosis of COVID-19 and PGIE >70 days were independent protective factors for intraoperative hypoxemia. Conclusions:Age>50 yr, having smoking habit and cough shown during COVID-19 are independent risk factors for intraoperative hypoxemia; PGIE type-colonoscopy and time to diagnosis of COVID-19 and PGIE >42 days are independent protective factors for intraoperative hypoxemia.
