Predictive factors of therapeutic intervention in on-call endoscopy for suspected gastrointestinal bleeding

Background and Aims: Performing an endoscopy out of hours confer significant burdens on limited health-care resources. However, not all on-call endoscopies lead to therapeutic interventions. The purpose of the present study was to analyze predictive factors for performing therapeutic intervention in...

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Bibliographic Details
Published in:Scandinavian journal of gastroenterology 2018-08, Vol.53 (8), p.958-963
Main Authors: Lee, Chan Hyung, Yoon, Hyuk, Choi, Yoon Jin, Jang, Eun Sun, Kim, Jaihwan, Shin, Cheol Min, Park, Young Soo, Hwang, Jin-Hyeok, Kim, Jin-Wook, Jeong, Sook-Hayng, Kim, Nayoung, Lee, Dong Ho, Kim, Joo Sung
Format: Article
Language:English
Subjects:
After-Hours Care
Aged
endoscopy
Endoscopy, Gastrointestinal
Female
Gastrointestinal hemorrhage
Gastrointestinal Hemorrhage - physiopathology
Gastrointestinal Hemorrhage - therapy
Hematemesis - diagnosis
Hospitals, University
Humans
International Normalized Ratio
Logistic Models
Male
Middle Aged
Multivariate Analysis
Retrospective Studies
Risk Assessment
risk factors
Seoul
Severity of Illness Index
therapeutic intervention
Time Factors
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Summary:Background and Aims: Performing an endoscopy out of hours confer significant burdens on limited health-care resources. However, not all on-call endoscopies lead to therapeutic interventions. The purpose of the present study was to analyze predictive factors for performing therapeutic intervention in patients with suspected gastrointestinal bleeding. Methods: We reviewed and analyzed electronic medical records regarding on-call endoscopy that were prospectively collected for quality control. The subjects were patients with suspected gastrointestinal bleeding who underwent on-call endoscopies at night, on weekends and on holidays between April 2013 and January 2017 in Seoul National University Bundang Hospital. To determine predictive factors for performing therapeutic intervention, the following variables were analyzed: symptoms, patient status, coexisting disease, laboratory findings and medications. To clarify the association between the likelihood of therapeutic intervention in on-call endoscopy and AIMS65 score, the included variables were divided by cutoffs. Results: A total of 270 patients (male: 72.6%, mean age: 62.6 years) with suspected gastrointestinal bleeding had on-call endoscopies and 153 (56.7%) patients had therapeutic intervention. Gastroscopy, colonoscopy and both endoscopic techniques were performed in 215, 42 and 13 patients, respectively. In the multivariate analysis, hematemesis (p 
ISSN:0036-5521
1502-7708
DOI:10.1080/00365521.2018.1493533