Table 3.
Prevalence of Anesthesia Complications Among Endoscopic Procedures Stratified by Procedure Type (2010–2015)
| COMPLICATION TYPE | FREQUENCY (n) | TOTAL CASES (N) | RISK (%) | POINT PREVALENCE* PER 100,000 PROCEDURES (95% CI) |
||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALL | EGD | COLON | ERCP | ALL | EGD | COLON | ERCP | ALL | EGD | COLON | ERCP | ALL | EGD | COLON | ERCP | |
| Serious Complication | 1349 | 511 | 393 | 445 | 400892 | 166260 | 207618 | 27014 | 0.34 | 0.31 | 0.19 | 1.65 | 336.5 (318.8 – 354.9) |
307.4 (281.3–335.1) |
189.3 (171.1–208.9) |
1647.3 (1498.9–1806.2) |
| Any Complication | 4441 | 1647 | 1742 | 1052 | 406285 | 167467 | 211689 | 27129 | 1.09 | 0.98 | 0.82 | 3.89 | 1093.1 (1061.3–1125.5) |
983.5 (936.8–1031.9) |
822.9 (784.9–862.3) |
3877.8 (3651.1–4114.3) |
| Post-Procedure | 3334 | 1243 | 1399 | 692 | 364720 | 147782 | 192073 | 24865 | 0.91 | 0.84 | 0.73 | 2.78 | 914.1 (883.5–945.5) |
841.1 (795.2–889.9) |
728.4 (690.8–767.4) |
2783.0 (2582.1–2995.1) |
| Unplanned Admission | 150 | 76 | 37 | 37 | 337794 | 139928 | 173522 | 24344 | 0.04 | 0.05 | 0.02 | 0.15 | 44.4 (37.6 – 52.1) |
54.3 (4.28–6.79) |
21.3 (15.0–29.4) |
1334.7 (939.9,1839.3) |
| Cardiovascular | 937 | 320 | 280 | 337 | 349249 | 148370 | 174867 | 26012 | 0.27 | 0.22 | 0.16 | 1.30 | 268.2 (251.4–286.0) |
215.7 (192.7–240.6) |
160.1 (141.9–180.0) |
1295.6 (1161.7–1440.5) |
| Respiratory | 200 | 88 | 43 | 69 | 351323 | 150169 | 175131 | 26023 | 0.06 | 0.06 | 0.02 | 0.27 | 56.9 (49.3 – 65.4) |
58.6 (47.0–72.2) |
24.6 (17.8–33.1) |
265.2 (206.4–335.5) |
| Injury | 59 | 30 | 16 | 13 | 262316 | 110077 | 131346 | 20893 | 0.02 | 0.03 | 0.01 | 0.06 | 22.5 (17.1 – 29.0) |
27.3 (18.4–38.9) |
12.2 (6.9–19.8) |
62.2 (33.1–106.4) |
| Neurologic | 53 | 20 | 25 | 8 | 244342 | 105525 | 117180 | 21637 | 0.02 | 0.02 | 0.02 | 0.04 | 21.7 (16.3 – 28.4) |
18.9 (11.6–29.3) |
21.3 (13.8–31.5) |
36.9 (15.9–72.8) |
| Death | 36 | 16 | 8 | 12 | 265707 | 120014 | 121499 | 24194 | 0.01 | 0.01 | 0.01 | 0.04 | 13.6 (9.5 – 18.8) |
13.3 (7.6–21.7) |
6.6 (2.8–13.0) |
49.6 (25.6–86.6) |
| Drug Related | 16 | 5 | 8 | 3 | 211448 | 90288 | 101080 | 20080 | 0.01 | 0.01 | 0.01 | 0.01 | 7.6 (4.3 – 12.3) |
5.5 (1.8–12.9) |
7.9 (3.4–15.6) |
14.9 (3.1–43.7) |
*
Prevalence calculated as # of complications (frequency) divided by total # of procedures with complete complications reported (total cases at risk for complications).