Case Study: Barnes Jewish West County Hospital

Results

ColoWraps were used for 271 patients. 252 (92.3%) patients were indicated for ColoWrap use by meeting BMI criteria (> 35); 19 (6.7%) patients were indicated due to prior difficult colonoscopy, abdominal hernia, or multiple prior surgeries. Colonoscopy was completed in 266 (98.2%) patients. 

Overall, ColoWrap use resulted in a 73.6% reduction in the use of manual abdominal pressure (50% vs 13.3% of procedures) and a 59.5% reduction (20% vs 8.0% of procedures) in the use of patient repositioning. 100% of endoscopy staff reported significant to very significant reductions in musculoskeletal pain, general fatigue, cecal intubation time, and frequency of prolonged procedures. 

All staff also reported a significant to very significant improvement in their ability to focus on other procedural duties during colonoscopy.

Staff Satisfaction Survey Results

Staff was asked to rank from zero to five, with zero being "not at all" and five being "very significantly", the extent to which ColoWrap performed.  Below are those results.

Conclusion

In this observational study, use of the ColoWrap Colonoscopy Compression Device in patients with BMI > 35 history of difficult colonoscopy, abdominal hernia, and/or multiple prior abdominal surgeries reduced the need for manual abdominal pressure and patient repositioning as compared to a baseline assessment. Endoscopy staff reported reductions in musculoskeletal pain, fatigue, and frequency of prolonged procedures with ColoWrap use.

References
1. Biggers L. Endoscopy Staff Injury: A Serious Problem Hidden in Plain Sight. International Journal of Safe Patient Handling & Mobility. 2018;8(4) 2. Crockett S, Dellon ES, Biggers L, Ernst DA. Use of Patient Abdominal Compression Device Reduces Staff Musculoskeletal Pain Associated With Supporting Colonoscopy: Results From a Randomized Controlled Trial. Gastroenterol Nurs. 2021 Mar-Apr 01 2021;44(2):136-145. doi:10.1097/SGA.0000000000000550