Clinicians should consider several factors when deciding whether to perform colonoscopy in elderly patients with dementia, including their pre-procedure clinical status.
Although elderly patients with dementia have similar rates of colonoscopy-related complications as patients without dementia, they have higher rates of other non-procedural complications, according to a new study.
First, they compared demographic and clinical data between the 50,692 patients without dementia and the 4323 patients with dementia. The groups didn't have significantly different rates of colonoscopy-related complications, such as colon perforation, post-colonoscopy bleeding, or splenic injury. The findings indicate that colonoscopy in patients with dementia"should be done with caution," the authors wrote."The overall picture of the patient's pre-procedure clinical status should be considered, including indication of the procedure, patient mental status, other comorbidities, laboratory and imaging findings, and social situation."
Li, who wasn't involved with this study, has researched how Alzheimer's disease and dementia affect colorectal cancer screening utilization, knowledge, and health disparities. He and colleagues found that cognitive impairment significantly influences both clinical and financial outcomes among older adults.
Alzheimer Disease Dementia Stroke Cerebrovascular Accident CVA - Cerebrovascular Accident Bowel Preparation Colonoscopy Geriatrics Elder Care Geriatric Medicine Older Adults Seniors Senior Citizens Elderly Elderly/Concerns Of Older Adults Elderly Colorectal Cancer Colorectal Cancer (CRC) Hospitals Practice Management Revenue Colorectal Cancer Screening
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