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10.1177/2050640617735059

http://scihub22266oqcxt.onion/10.1177/2050640617735059
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C5949974!5949974!29774151
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suck abstract from ncbi


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pmid29774151      United+European+Gastroenterol+J 2018 ; 6 (3): 382-90
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  • Gastrointestinal endoscopy under sedation is associated with pneumonia in older inpatients?results of a retrospective case-control study #MMPMID29774151
  • Kollmann CM; Schmiegel W; Brechmann T
  • United European Gastroenterol J 2018[Apr]; 6 (3): 382-90 PMID29774151show ga
  • Background and aims: Apparent aspiration is a notable adverse event during gastrointestinal endoscopy under sedation (GIES), but data about inapparent aspiration are scarce. Generally, particularly older patients are at higher risk of suffering from adverse events. Objective: The objective of this article is to determine the risk of pneumonia, lower respiratory tract infection (LRI) and systemic inflammatory activation after GIES, especially in patients of at least 65 years. Methods: The retrospective case-control study included 250 patients undergoing GIES and assigned age-, gender- and time of performance-matched controls without invasive procedure or sedation (ratio 1:1). Results: On day 3 patients of advanced age presented with both pneumonia and LRI more often (2.6 vs. 0.0%, p?=?0.041 and 7.8 vs. 2.5%, p?=?0.034, respectively). In general, several inflammatory parameters increased significantly after GIES (i.e. white blood cell count (increase of???25%) 18.6 vs. 6.9%, p?
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