The relationship between age and process of care and patient tolerance of bronchoscopy

Boyd T. Hehn, Edward Haponik, Haya R. Rubin, Noah Lechtzin, Gregory B Diette

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: To determine whether patient age is associated with differences in flexible bronchoscopy technique and tolerance. DESIGN: Prospective cohort study. SETTING: University hospital system. PARTICIPANTS: One thousand three hundred fifty-eight adults, including 219 (16.1%) aged 70 and older, undergoing bronchoscopy. MEASUREMENTS: Indications, sampling procedures, medication doses, patient reports of pain, willingness to return, and adverse events associated with bronchoscopy. RESULTS: Indications for bronchoscopy varied with age, with solitary pulmonary nodule (P <.001), mass (P <.001), or lymphadenopathy (P <.001) being more common in older patients. Invasive sampling methods were used more often with increasing age, but variation in disease processes between age groups accounted for the difference in sampling method performed. Mean doses of midazolam and fentanyl given for sedation decreased with increasing age (P <.001). There was no significant difference between older and younger patients in reported very good to excellent pain control (50% of patients ≥70 vs 64% of patients

Original languageEnglish (US)
Pages (from-to)917-922
Number of pages6
JournalJournal of the American Geriatrics Society
Volume51
Issue number7
DOIs
StatePublished - Jul 1 2003

Fingerprint

Bronchoscopy
Patient Care
Solitary Pulmonary Nodule
Pain
Midazolam
Fentanyl
Cohort Studies
Age Groups
Prospective Studies

Keywords

  • Aged
  • Bronchoscopy
  • Elderly
  • Safety
  • Tolerance

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

The relationship between age and process of care and patient tolerance of bronchoscopy. / Hehn, Boyd T.; Haponik, Edward; Rubin, Haya R.; Lechtzin, Noah; Diette, Gregory B.

In: Journal of the American Geriatrics Society, Vol. 51, No. 7, 01.07.2003, p. 917-922.

Research output: Contribution to journalArticle

@article{38443c3fd7f64c82994ce9c34a37a930,
title = "The relationship between age and process of care and patient tolerance of bronchoscopy",
abstract = "OBJECTIVES: To determine whether patient age is associated with differences in flexible bronchoscopy technique and tolerance. DESIGN: Prospective cohort study. SETTING: University hospital system. PARTICIPANTS: One thousand three hundred fifty-eight adults, including 219 (16.1{\%}) aged 70 and older, undergoing bronchoscopy. MEASUREMENTS: Indications, sampling procedures, medication doses, patient reports of pain, willingness to return, and adverse events associated with bronchoscopy. RESULTS: Indications for bronchoscopy varied with age, with solitary pulmonary nodule (P <.001), mass (P <.001), or lymphadenopathy (P <.001) being more common in older patients. Invasive sampling methods were used more often with increasing age, but variation in disease processes between age groups accounted for the difference in sampling method performed. Mean doses of midazolam and fentanyl given for sedation decreased with increasing age (P <.001). There was no significant difference between older and younger patients in reported very good to excellent pain control (50{\%} of patients ≥70 vs 64{\%} of patients",
keywords = "Aged, Bronchoscopy, Elderly, Safety, Tolerance",
author = "Hehn, {Boyd T.} and Edward Haponik and Rubin, {Haya R.} and Noah Lechtzin and Diette, {Gregory B}",
year = "2003",
month = "7",
day = "1",
doi = "10.1046/j.1365-2389.2003.51303.x",
language = "English (US)",
volume = "51",
pages = "917--922",
journal = "Journal of the American Geriatrics Society",
issn = "0002-8614",
publisher = "Wiley-Blackwell",
number = "7",

}

TY - JOUR

T1 - The relationship between age and process of care and patient tolerance of bronchoscopy

AU - Hehn, Boyd T.

AU - Haponik, Edward

AU - Rubin, Haya R.

AU - Lechtzin, Noah

AU - Diette, Gregory B

PY - 2003/7/1

Y1 - 2003/7/1

N2 - OBJECTIVES: To determine whether patient age is associated with differences in flexible bronchoscopy technique and tolerance. DESIGN: Prospective cohort study. SETTING: University hospital system. PARTICIPANTS: One thousand three hundred fifty-eight adults, including 219 (16.1%) aged 70 and older, undergoing bronchoscopy. MEASUREMENTS: Indications, sampling procedures, medication doses, patient reports of pain, willingness to return, and adverse events associated with bronchoscopy. RESULTS: Indications for bronchoscopy varied with age, with solitary pulmonary nodule (P <.001), mass (P <.001), or lymphadenopathy (P <.001) being more common in older patients. Invasive sampling methods were used more often with increasing age, but variation in disease processes between age groups accounted for the difference in sampling method performed. Mean doses of midazolam and fentanyl given for sedation decreased with increasing age (P <.001). There was no significant difference between older and younger patients in reported very good to excellent pain control (50% of patients ≥70 vs 64% of patients

AB - OBJECTIVES: To determine whether patient age is associated with differences in flexible bronchoscopy technique and tolerance. DESIGN: Prospective cohort study. SETTING: University hospital system. PARTICIPANTS: One thousand three hundred fifty-eight adults, including 219 (16.1%) aged 70 and older, undergoing bronchoscopy. MEASUREMENTS: Indications, sampling procedures, medication doses, patient reports of pain, willingness to return, and adverse events associated with bronchoscopy. RESULTS: Indications for bronchoscopy varied with age, with solitary pulmonary nodule (P <.001), mass (P <.001), or lymphadenopathy (P <.001) being more common in older patients. Invasive sampling methods were used more often with increasing age, but variation in disease processes between age groups accounted for the difference in sampling method performed. Mean doses of midazolam and fentanyl given for sedation decreased with increasing age (P <.001). There was no significant difference between older and younger patients in reported very good to excellent pain control (50% of patients ≥70 vs 64% of patients

KW - Aged

KW - Bronchoscopy

KW - Elderly

KW - Safety

KW - Tolerance

UR - http://www.scopus.com/inward/record.url?scp=0038825068&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0038825068&partnerID=8YFLogxK

U2 - 10.1046/j.1365-2389.2003.51303.x

DO - 10.1046/j.1365-2389.2003.51303.x

M3 - Article

VL - 51

SP - 917

EP - 922

JO - Journal of the American Geriatrics Society

JF - Journal of the American Geriatrics Society

SN - 0002-8614

IS - 7

ER -