Clinical Outcomes and Costs of Patients with Upper Gastrointestinal Hemorrhage Who Received Early and Delayed Endoscopy
Patients with Upper Gastrointestinal Hemorrhage Who Received Early and Delayed Endoscopy
Keywords:
upper gastrointestinal hemorrhage, esophagogastroduodenoscopy, clinical outcome, costAbstract
Guidelines recommend esophagogastroduodenoscopy within 24 hours (early EGD) for high-risk patients with acute upper gastrointestinal hemorrhage. The overtime endoscopy for eight hours a day project had been initiated since October 1, 2019. This retrospective study aimed to compare clinical outcomes and cost one year before and after this project. It was found that 876 patients with clinically important gastrointestinal bleeding. Their mean age was 60.2 years and 75.5% were male. Patients underwent early EGD 50% before and 80% after the project. Median time for endoscopy were 1 and 2 days in early and delayed EGD, respectively. Early EGD group got more therapeutic procedures compared to delayed group. The median length of stay was 4 days in both groups (p < 0.001). Nevertheless, blood components, interventional or surgical consultation, 30-day rebleeding rate, mortality rate and cost were comparable in two groups. Thus, the implementation of eight-hour overtime endoscopy daily increases the standard of care which provided to individuals without any changes in clinical outcomes and costs.
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