Efficiency and patient experience with propofol vs conventional sedation: A prospective study

Table 1 Participants’ demographics for endoscopist-administered sedation and anaesthesiologist-administered sedation with propofol groups n (%)

	EAC (n = 104)	AAP (n = 126)	P-value
Male sex - frequency	60 (57.7)	46 (36.5)	0.001
Age	59.8 (11.6)	57.1 (13.3)	0.101
Weight	183.3 (49.1)	174.6 (46.5)	0.169
Height	67.6 (4.2)	66.3 (4.0)	0.016
BMI	28.0 (6.5)	27.7 (6.2)	0.750
Indication - symptomatic	33 (31.7)	55 (43.7)	0.064
Intervention			0.936
None	31 (29.8)	37 (29.4)
Diagnostic	25 (24.0)	34 (27.0)
Therapeutic	36 (34.6)	43 (34.1)
Diagnostic and therapeutic	12 (11.5)	12 (9.5)
ASA class			0.089
1	42 (40.4)	52 (41.3)
2	54 (51.9)	53 (42.1)
3	8 (7.7)	21 (16.7)

EAC: Endoscopist-administered conscious sedation; AAP: Anaesthesiologist-administered sedation with propofol; BMI: Body mass index; ASA: American Society of Anaesthesiologists.

Table 2 Multivariate analysis of procedure measurables

	Coefficient	P-value
BMI	-0.008	0.008
ASA class	0.066	0.016
Intervention - diagnostic	0.084	0.033
Intervention - therapeutic	0.246	< 0.001
Propofol sedation (AAP)	0.091	0.002
Resident involved	0.391	< 0.001

AAP: Anaesthesiologist-administered sedation with propofol; BMI: Body mass index; ASA: American Society of Anaesthesiologists.

Table 3 Procedure time and total procedure room time with removal of trainee presence (staff endoscopist data only) for endoscopist-administered sedation and anaesthesiologist-administered sedation with propofol groups

	EAC (n = 89)	AAP (n = 75)	P-value
Total procedure time
Mean ± SD	13.0 ± 4.9 min	12.9 ± 4.8 min	0.941
Total room time
Mean ± SD	28.1 ± 9.3 min	31.1 ± 10.1 min	0.019

EAC: Endoscopist-administered conscious sedation; AAP: Anaesthesiologist-administered sedation with propofol.

Table 4 Results of the telephone patient satisfaction survey for endoscopist-administered sedation and anaesthesiologist-administered sedation with propofol groups n (%)

	EAC (n = 104)	AAP (n = 126)	P-value
Response rate	74 (71)	80 (64)	0.219
Question 1: I was very satisfied with the care I received			0.074
Agree	15 (20)	8 (10)
Strongly agree	59 (80)	72 (90)
Question 2: I would strongly recommend this procedure to friends who qualify for it			0.882
Disagree	1 (1.4)	0 (0.0)
Not sure	2 (2.7)	6 (7.5)
Agree	16 (22)	13 (16)
Strongly agree	55 (74)	61 (76)
Question 3: I would be willing to repeat this examination again in the future if necessary			0.667
Disagree	0 (0.0)	1 (1.3)
Not sure	2 (2.7)	0 (0.0)
Agree	8 (11)	12 (15)
Strongly agree	64 (87)	67 (84)
Question 4: I did not experience too much pain/discomfort during the procedure			0.021
Strongly disagree	4 (5.4)	0 (0.0)
Disagree	5 (6.8)	2 (2.5)
Not sure	1 (1.4)	0 (0.0)
Agree	7 (9.5)	6 (7.5)
Strongly agree	57 (77)	72 (90)

EAC: Endoscopist-administered conscious sedation; AAP: Anaesthesiologist-administered sedation with propofol.

Table 5 Study endpoints - comparing staff endoscopists only with cases involving resident participation

	Resident involved (n = 66)	Staff endoscopist only (n = 164)	P-value
Total procedure time			< 0.001
Mean ± SD	26.0 ± 10.2	12.9 ± 4.8	< 0.001
Total room time			< 0.001
Mean ± SD	44.4 ± 13.7	29.5 ± 9.8	< 0.001