The Relationship between the Time of Endoscopy and Morbidity and Mortality Rates in Patients with Upper Gastrointestinal Bleeding

(2017) The Relationship between the Time of Endoscopy and Morbidity and Mortality Rates in Patients with Upper Gastrointestinal Bleeding. Advanced biomedical research. p. 81. ISSN 2277-9175 (Print) 2277-9175 (Linking)

Full text not available from this repository.

Abstract

BACKGROUND: This study was done to evaluate the relationship between the time of endoscopy in patients with upper gastrointestinal bleeding with morbidity and mortality rates of patients at the Al Zahra Hospital emergency room. MATERIALS AND METHODS: In a cohort study, 1152 patients at 2014 and 2015 have been hospitalized due to gastrointestinal bleeding in Al Zahra Hospital, were selected and demographic and clinical information and day and time of endoscopy and hospital mortality and fewer deaths than a month after discharge were studied, and prognosis was analyzed in terms of day and time of endoscopy. RESULTS: Nine hundred and seventy-three cases (84.5) of endoscopy were performed during the working days and 179 (15.5) were performed on holidays. Moreover, 801 cases (69.5) of endoscopy were done in the morning and 351 cases (30.5) were performed in the evening and night shifts. The day and time of endoscopy had no significant effect on mortality in hospital and less than a month after but hospital death in whom underwent endoscopy by fellowship was significantly higher (P = 0.004). CONCLUSION: Endoscopy in nonholiday and holiday days and the time of endoscopy has no significant effect on hospital mortality 1 month after discharge. However, other factors such as endoscopy by attendant or fellowship, time between admission to endoscopy, age and sex of the patients, etc., were significantly effective on in-hospital mortality and death 1 months after discharge. Also faster and sooner endoscopy cannot reduce rate of blood transfusions or reduce the length of hospital stay but faster endoscopy of patients can reduce the risk of in-hospital death.

Item Type: Article
Keywords: Endoscopy gastrointestinal bleeding mortality
Divisions: Faculty of Medicine > Departments of Clinical Sciences > Department of Internal
Page Range: p. 81
Journal or Publication Title: Advanced biomedical research
Journal Index: Pubmed
Volume: 6
Identification Number: https://doi.org/10.4103/2277-9175.210664
ISSN: 2277-9175 (Print) 2277-9175 (Linking)
Depositing User: مهندس مهدی شریفی
URI: http://eprints.mui.ac.ir/id/eprint/1399

Actions (login required)

View Item View Item