SCOPE Score of Braunstein et al for Predicting Sedation Outcomes in a Patient Undergoing Upper GI Endoscopy

Description

Braunstein et al developed a clinical prediction rule for identifying a patient likely to have a difficult sedation during upper esophagogastroduodenoscopy (oesophagogastro-duodenoscopy or OGD). The authors are from Columbia University in New York City.

SCOPE = Stratifying Clinical Outcome Prior to Endoscopy

Patient selection: sedation for colonoscopy, age 18 to 69 years (adult). The risk of difficult sedation in patients >= 70 years of age was very low.

Primary Endopoint: difficult sedation or high sedation requirement

Parameters:

(1) age of the patient in years

(2) indication for endoscopy

(3) gender

(4) psychiatric history

(5) benzodiazepine use

(6) opioid use

(7) gastroenerology Fellow present

Parameter	Finding	Points
age of the patient	18 to 29 years	10
	30 to 39 years	9
	40 to 49 years	7
	50 to 59 years	3
	60 to 69	0
indication	reflux including Barrett’s	2
	abdominal pain	0
	other	1
gender	male	1
	female	0
psychiatric history	no	0
	yes	1
benzodiazepine use	no	0
	yes	2
opioid use	no	0
	yes	2
Fellow	not present	0
	present	1

total score =

= SUM(points for all 7 parameters)

Interpretation:

• minimum score: 0

• maximum score: 19

Score	Class	Difficult Sedation
0 to 4	I	8-9%
5 to 7	II	14-20%
8 to 10	III	21-26%
11 to 13	IV	26-30%
14 to 19	V	35-67%

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Description

Specialty

ICD-10