Clinical Trials Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Jul 16, 2024; 16(7): 413-423
Published online Jul 16, 2024. doi: 10.4253/wjge.v16.i7.413
Sedation reversal trends at outpatient ambulatory endoscopic center vs in-hospital ambulatory procedure center using a triage protocol
Saqib Walayat, Peter Stadmeyer, Azfar Hameed, Minahil Sarfaraz, Paul Estrada, Mark Benson, Anurag Soni, Patrick Pfau, Paul Hayes, Brittney Kile, Toni Cruz, Deepak Gopal
Saqib Walayat, Department of Gastroenterology, University of Illinois, Peoria, IL 61605, United States
Peter Stadmeyer, Department of Gastroenterology, University of Wisconsin, Madison, WI 53792, United States
Azfar Hameed, Department of Internal Medicine, Texas Health Denton, Denton, TX 76201, United States
Minahil Sarfaraz, Department of Internal Medicine, Allama Iqbal Medical College, Lahore 042, Pakistan
Paul Estrada, Department of Gastroenterology, Texas Tech University Health Services Center, El Paso, TX 79911, United States
Mark Benson, Anurag Soni, Patrick Pfau, Department of Gastroenterology and Hepatology, University of Wisconsin, Madison, WI 53705, United States
Paul Hayes, Finance Business Partners UW Health, University of Wisconsin, Madison, WI 53792, United States
Brittney Kile, Toni Cruz, UW Health Digestive Health Center Endoscopy, University of Wisconsin, Madison, WI 53792, United States
Deepak Gopal, Division of Gastroenterology and Hepatology, Department of Medicine, University of Wisconsin Hospitals and Clinics, Madison, WI 53705, United States
Author contributions: Walayat S and Stademeyer P wrote the initial manuscript; Hameed A and Sarfaraz M did the literature review; Estrada P, Hayes P, Kile B helped with data collection and organization of study; Benson M, Soni A, Pfau P, Cruz T designed the research study; Gopal D designed the study and analyzed the data and reviewed the manuscript; all authors have read and approve the final manuscript.
Institutional review board statement: The study was reviewed and approved by the IRB (waiver attached).
Clinical trial registration statement: This trial was not registered. The local IRB was aware of the trial and approved study.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: There are no conflicts of interest to report.
Data sharing statement: No additional data are available.
CONSORT 2010 statement: The authors have read the CONSORT Statement—checklist of items, and the manuscript was prepared and revised according to the CONSORT Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Deepak Gopal, MD, FRCP (C), FACP, AGAF, FASGE, FACG, MRCP (LONDON), Professor, Division of Gastroenterology and Hepatology, Department of Medicine, University of Wisconsin Hospitals and Clinics, 1685 Highland Avenue, Madison, WI 53705, United States. dvg@medicine.wisc.edu
Received: January 29, 2024
Revised: May 22, 2024
Accepted: June 19, 2024
Published online: July 16, 2024
Processing time: 161 Days and 5.8 Hours
Core Tip

Core Tip: Our study highlights the effectiveness of a triage tool used at our tertiary care hospital for risk stratification in minimizing sedation reversal events during outpatient endoscopy procedures. By directing higher-risk patients to appropriate settings, we achieved low rates of sedation reversal, enhancing patient safety and optimizing resource utilization in ambulatory care settings. This approach can have a significant impact on improving patient outcomes and resource allocation in similar healthcare settings.