Zhang Zhang, Chen Xiaojia, Wang Haizhou, Nie Haihang, Wang Fan, Zhao Qiu, Fang Jun
Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China.
J Clin Med. 2023 Jan 21;12(3):863. doi: 10.3390/jcm12030863.
(1) Background: To assess whether the start time influences the outcomes of esophagogastroduodenoscopy (EGD). (2) Methods: We retrospectively analyzed the clinical data of patients who underwent EGD between January 2021 and December 2021 in our endoscopy center. The EGD were divided into three shifts, according to the start time. The lesion detection rate (LDR) and endoscopy biopsy rate (EBR) were used to evaluate the quality of the EGD. (3) Results: A total of 14,597 procedures were included in this study. The LDR of shift 2 was significantly lower than that of shift 1 (62.4% vs. 58.5%; < 0.001). The EBR of shift 1 (37.4% vs. 31.5%; < 0.001) and shift 3 (35.5% vs. 31.5%; = 0.024) were significantly higher than that of shift 2; the EBR in shift 1 did not differ significantly from shift 3 ( = 0.280). The multivariable analysis for the EGD performed before 14:00 demonstrated a graded decrease in the LDR and EBR after adjusting the confounders ( < 0.001). (4) Conclusion: In a continuous working period, the lesion detection and biopsy submission of EGD are superior to those in the first three hours compared to the last three hours; the LDR and EBR decreased as the day progressed, probably due to the endoscopists' fatigue.
(1) 背景：评估开始时间是否会影响食管胃十二指肠镜检查（EGD）的结果。(2) 方法：我们回顾性分析了2021年1月至2021年12月在我院内镜中心接受EGD检查的患者的临床资料。根据开始时间将EGD检查分为三个班次。采用病变检出率（LDR）和内镜活检率（EBR）来评估EGD检查的质量。(3) 结果：本研究共纳入14597例检查。第2班次的LDR显著低于第1班次（62.4%对58.5%；<0.001）。第1班次（37.4%对31.5%；<0.001）和第3班次（35.5%对31.5%；=0.024）的EBR显著高于第2班次；第1班次和第3班次的EBR差异无统计学意义（=0.280）。对14:00之前进行的EGD检查进行多变量分析显示，在调整混杂因素后，LDR和EBR呈分级下降（<0.001）。(4) 结论：在连续工作期间内，EGD检查的病变检出和活检送检在前三个小时优于后三个小时；随着时间的推移，LDR和EBR下降，可能是由于内镜医师疲劳所致。
