Capnographic monitoring during outpatient colonoscopy with moderate sedation increased costs significantly and did not improve patient safety or satisfaction, this study finds.
The analysis included 966 patients (465 without and 501 with capnography) who underwent colonoscopy at the Beth Israel Deaconess Medical Center, Boston.
Patients and nurses reported more procedural discomfort experienced by patients using capnography, compared with not using it. The addition of capnography increased costs by $11.68 per procedure, for a total of $40,169.95 for all procedures, which did not include the original costs of the capnography monitors.
No serious adverse events were reported in either group.
The American Journal of Gastroenterology is published by Nature Publishing Group (NPG) on behalf of the American College of Gastroenterology (ACG). Ranked the #1 clinical journal covering gastroenterology and hepatology*, The American Journal of Gastroenterology (AJG) provides practical and professional support for clinicians dealing with the gastroenterological disorders seen most often in patients. Published with practicing clinicians in mind, the journal aims to be easily accessible, organizing its content by topic, both online and in print. www.amjgastro.com, *2007 Journal Citation Report (Thomson Reuters, 2008)