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Timing of endoscopy in patients with upper gastrointestinal bleeding
The optimal timing of endoscopy in patients with acute upper gastrointestinal bleeding (UGIB) remains controversial. In this study, we investigated the clinical outcomes of urgent endoscopy in patients with UGIB compared with elective endoscopy. From January 2016 to December 2018, consecutive patien...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9046398/ https://www.ncbi.nlm.nih.gov/pubmed/35477727 http://dx.doi.org/10.1038/s41598-022-10897-3 |
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author | Kim, Jeemyoung Gong, Eun Jeong Seo, Myeongsook Park, Jong Kyu Lee, Sang Jin Han, Koon Hee Kim, Young Don Jeong, Woo Jin Cheon, Gab Jin Seo, Hyun Il |
author_facet | Kim, Jeemyoung Gong, Eun Jeong Seo, Myeongsook Park, Jong Kyu Lee, Sang Jin Han, Koon Hee Kim, Young Don Jeong, Woo Jin Cheon, Gab Jin Seo, Hyun Il |
author_sort | Kim, Jeemyoung |
collection | PubMed |
description | The optimal timing of endoscopy in patients with acute upper gastrointestinal bleeding (UGIB) remains controversial. In this study, we investigated the clinical outcomes of urgent endoscopy in patients with UGIB compared with elective endoscopy. From January 2016 to December 2018, consecutive patients who visited the emergency department and underwent endoscopy for clinical manifestations of acute UGIB, including variceal bleeding, were eligible. Urgent endoscopy (within 6 h) and elective endoscopy (after 6 h) were defined as the time taken to perform endoscopy after presentation to the emergency department. The primary outcome was mortality rate within 30 days. A total of 572 patients were included in the analysis. Urgent endoscopy was performed in 490 patients (85.7%). The 30-day mortality rate did not differ between the urgent and elective endoscopy groups (5.3% and 6.1%, p = 0.791). There was no difference regarding the recurrent bleeding rate, total amount of transfusion, or length of hospital between the groups. In multivariate analysis, age and the amount of transfusion were associated with mortality. Urgent endoscopy was not associated with a lower 30-day mortality rate compared with elective endoscopy in patients with acute UGIB. |
format | Online Article Text |
id | pubmed-9046398 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-90463982022-04-29 Timing of endoscopy in patients with upper gastrointestinal bleeding Kim, Jeemyoung Gong, Eun Jeong Seo, Myeongsook Park, Jong Kyu Lee, Sang Jin Han, Koon Hee Kim, Young Don Jeong, Woo Jin Cheon, Gab Jin Seo, Hyun Il Sci Rep Article The optimal timing of endoscopy in patients with acute upper gastrointestinal bleeding (UGIB) remains controversial. In this study, we investigated the clinical outcomes of urgent endoscopy in patients with UGIB compared with elective endoscopy. From January 2016 to December 2018, consecutive patients who visited the emergency department and underwent endoscopy for clinical manifestations of acute UGIB, including variceal bleeding, were eligible. Urgent endoscopy (within 6 h) and elective endoscopy (after 6 h) were defined as the time taken to perform endoscopy after presentation to the emergency department. The primary outcome was mortality rate within 30 days. A total of 572 patients were included in the analysis. Urgent endoscopy was performed in 490 patients (85.7%). The 30-day mortality rate did not differ between the urgent and elective endoscopy groups (5.3% and 6.1%, p = 0.791). There was no difference regarding the recurrent bleeding rate, total amount of transfusion, or length of hospital between the groups. In multivariate analysis, age and the amount of transfusion were associated with mortality. Urgent endoscopy was not associated with a lower 30-day mortality rate compared with elective endoscopy in patients with acute UGIB. Nature Publishing Group UK 2022-04-27 /pmc/articles/PMC9046398/ /pubmed/35477727 http://dx.doi.org/10.1038/s41598-022-10897-3 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Kim, Jeemyoung Gong, Eun Jeong Seo, Myeongsook Park, Jong Kyu Lee, Sang Jin Han, Koon Hee Kim, Young Don Jeong, Woo Jin Cheon, Gab Jin Seo, Hyun Il Timing of endoscopy in patients with upper gastrointestinal bleeding |
title | Timing of endoscopy in patients with upper gastrointestinal bleeding |
title_full | Timing of endoscopy in patients with upper gastrointestinal bleeding |
title_fullStr | Timing of endoscopy in patients with upper gastrointestinal bleeding |
title_full_unstemmed | Timing of endoscopy in patients with upper gastrointestinal bleeding |
title_short | Timing of endoscopy in patients with upper gastrointestinal bleeding |
title_sort | timing of endoscopy in patients with upper gastrointestinal bleeding |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9046398/ https://www.ncbi.nlm.nih.gov/pubmed/35477727 http://dx.doi.org/10.1038/s41598-022-10897-3 |
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