Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Effect of hospital-admission volume on outcomes following acute non-variceal upper gastrointestinal bleeding

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Health status of refugees newly resettled in Denmark

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Prevention of anastomotic leak following surgical treatment for rectal cancer

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Diabetes mellitus affects the prognosis of frozen shoulder

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Providing targeted healthcare services for immigrants with complex health needs

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Surgical repair of parastomal bulging: a retrospective register-based study on prospectively collected data

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Ketamine for rapid sequence intubation in adult trauma patients: A retrospective observational study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Smoking and risk of surgical bleeding: nationwide analysis of 5,452,411 surgical cases

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Identification of a new genetic variant associated with cholecystitis: a multicenter genome-wide association study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

INTRODUCTION: Treatment-requiring acute non-variceal upper gastrointestinal bleeding (NVUGIB) is a common, potentially life-threatening emergency. This study investigated whether hospital admittance volume of patients with NVUGIB was associated with reduced mortality, reduced lasting failure of haemostatic procedures defined as rate of re-endoscopy with repeated haemostasis intervention (ReWHI), transfusion requirements and conversion to surgery.

METHODS: Data on Danish nationwide admissions of patients with acute NVUGIB from 2011-2013 were analysed to estimate 30-day mortality, re-bleeding (ReWHI), transfusion rates and rates of conversion to surgery. Data were analysed by regression modelling while controlling for confounders including age, admission haemoglobin, the American College of Anesthesiologists score, comorbidities and the Forrest classification.

RESULTS: A total of 3,537 patients with acute non-variceal upper gastrointestinal bleeding were included in the study. The hospital admission volume of patients with NVUGIB was positively associated with a significant increase in ReWHI with an odds ratio of 1.27; p = 1.91 × 10-6. There was no significant association between admission volume and conversion to surgery, 30-day mortality or transfusion rates.

CONCLUSIONS: A positive association between admission volumes of patients with NVUGIB and ReWHI was identified. No association between admission volumes and 30-day mortality or other failure of haemostasis events could be identified.

FUNDING: none.

TRIAL REGISTRATION: not applicable.

OriginalsprogEngelsk
TidsskriftDanish Medical Journal
Vol/bind66
Udgave nummer2
Sider (fra-til)A5531
ISSN1603-9629
StatusUdgivet - feb. 2019

Bibliografisk note

Articles published in the DMJ are “open access”. This means that the articles are distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits any non-commercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

ID: 59133353