지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
이용수
초록· 키워드
오류제보하기
Objective: Endoscopic hemostasis is a key treatment for variceal upper gastrointestinal bleeding. However, the effects of early endoscopy in variceal upper gastrointestinal bleeding have not been sufficiently studied. This study investigated the effects of the use of the critical pathway (CP) for upper gastrointestinal bleeding.
Methods: The study was designed as a ‘before and after’ study. A group of patients diagnosed with variceal upper gastrointestinal bleeding from January 1, 2011, to December 31, 2014, and CP activated patients from January 1, 2015, to December 31, 2018, were reviewed retrospectively. The study endpoints included an analysis of the following in the two groups: time from emergency department (ED) arrival to endoscopy, number of blood transfusions, hospitalization period, intensive care unit (ICU) admission, 30-day mortality.
Results: From January 1, 2011, to December 31, 2018, 207 patients were admitted with variceal upper gastrointestinal bleeding, and 137 patients with a Blatchford score of 7 or higher were included in the study. Of these, 88 patients visited before the implementation of CP and 49 patients visited thereafter. The time from ED arrival to endoscopy was 218.1± 201.7 minutes in the CP activated group, which was about 200 minutes shorter (P=0.046) than the non-CP group. There was no statistical difference in 30-day mortality, transfusion, emergency room hospitalization time, number of ICU admissions, and hospitalization days (P=0.348, P=0.394, P=0.651, P=0.164, and P=0.069).
Conclusion: After CP, the time to endoscopy was significantly shortened, but it did not reduce mortality.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Blatchford O / 1997 / Acute upper gastrointestinal haemorrhage in west of Scotland : case ascertainment study / BMJ 315:510~514
Button LA / 2011 / Hospitalized incidence and case fatality for upper gastrointestinal bleeding from 1999 to 2007 : a record linkage study / Aliment Pharmacol Ther 33:64~76
Rockall TA / 1995 / Incidence of and mortality from acute upper gastrointestinal haemorrhage in the United Kingdom. Steering Committee and members of the National Audit of Acute Upper Gastrointestinal Haemorrhage / BMJ 311:222~226
Feinman M / 2014 / Upper gastrointestinal bleeding / Surg Clin North Am 94:43~53
Gralnek IM / 2015 / Diagnosis and management of nonvariceal upper gastrointestinal hemorrhage: European Society of Gastrointestinal Endoscopy (ESGE) Guideline / Endoscopy 47:a1~46
Button LA / 2011 / Hospitalized incidence and case fatality for upper gastrointestinal bleeding from 1999 to 2007 : a record linkage study / Aliment Pharmacol Ther 33:64~76
Rockall TA / 1995 / Incidence of and mortality from acute upper gastrointestinal haemorrhage in the United Kingdom. Steering Committee and members of the National Audit of Acute Upper Gastrointestinal Haemorrhage / BMJ 311:222~226
Feinman M / 2014 / Upper gastrointestinal bleeding / Surg Clin North Am 94:43~53
Gralnek IM / 2015 / Diagnosis and management of nonvariceal upper gastrointestinal hemorrhage: European Society of Gastrointestinal Endoscopy (ESGE) Guideline / Endoscopy 47:a1~46
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
The Value of Risk Scores to Predict Clinical Outcomes in Patients with Variceal and Non-Variceal Upper Gastrointestinal Bleeding
Clinical Endoscopy
2021 .01
-
비정맥류 상부위장관 출혈의 내시경 치료
Korean Journal of Helicobacter Upper Gastrointestinal Research
2016 .01
-
When Should We Perform Endoscopy for Patients with Upper Gastrointestinal Bleeding?
Clinical Endoscopy
2019 .01
-
Comparison of the AIMS65 Score with Other Risk Stratification Scores in Upper Variceal and Nonvariceal Gastrointestinal Bleeding
Gut and Liver
2018 .01
-
Hemostatic materials in non-variceal upper gastrointestinal hemorrhage
International Journal of Gastrointestinal Intervention
2020 .01
-
Meaning of Better Scoring System for the Patients with Cancer Bleeding in the Upper Gastrointestinal Tract
Gut and Liver
2024 .03
-
Endoscopy Timing in Patients with Acute Upper Gastrointestinal Bleeding
Clinical Endoscopy
2019 .01
-
Acute-on-chronic liver failure: A predictor of poor prognosis in patients with variceal bleeding or a risk factor for variceal bleeding?
Clinical and Molecular Hepatology
2020 .01
-
Could a bleeding-sensor device be established as a new paradigm for detecting upper gastrointestinal bleeding before performing endoscopy?
Clinical Endoscopy
2024 .03
-
Prevention and management of gastroesophageal varices
Clinical and Molecular Hepatology
2018 .01
-
The AIMS65 Score Is a Useful Predictor of Mortality in Patients with Nonvariceal Upper Gastrointestinal Bleeding: Urgent Endoscopy in Patients with High AIMS65 Scores
Clinical Endoscopy
2015 .01
-
Is the Modified AIMS65 Score Suitable for Distinguishing the Low Risk Group and the High Risk Group for Patients with Upper Gastrointestinal Bleeding?
대한응급의학회지
2017 .01
-
Are there Seasonal Variations in the Incidence and Mortality of Esophageal Variceal Bleeding?
Clinical Endoscopy
2020 .01
-
A Huge Mass of the Duodenum with Upper Gastrointestinal Bleeding
Korean Journal of Helicobacter Upper Gastrointestinal Research
2018 .01
-
Outcomes and complications of embolization for gastrointestinal bleeding
International Journal of Gastrointestinal Intervention
2018 .01
-
Hypertonic dextrose spray as topical endoscopic hemostasis for non-variceal upper gastrointestinal bleeding
International Journal of Gastrointestinal Intervention
2023 .04
-
비종양성 상부위장관 응급상황의 내시경적 관리
Korean Journal of Helicobacter Upper Gastrointestinal Research
2024 .03
-
Over-the-Scope Clip in the Management of Gastrointestinal Defect and Intractable Non-Variceal Bleeding
Clinical Endoscopy
2017 .01
-
Mortality Risk Scoring System in Patients after Bleeding from Cancers in the Upper Gastrointestinal Tract
Gut and Liver
2024 .03
-
Acquired Hemophilia A with Gastrointestinal Bleeding
Clinical Endoscopy
2020 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0