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Early colonoscopy in patients with acute diverticular bleeding is associated with improvement in healthcare-resource utilization

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Gastroenterology Report 2019年第2期7卷 115-120,I0002页

作者： Hamzeh Saraireh Obada Tayyem Mohamed Tausif Siddiqui Bashar Hmoud Mohammad Bilal Department of Internal Medicine University of Texas Medical BranchGalvestonTXUSA Department of Internal Medicine New York Medical CollegeValhallaNYUSA Division of Gastroenterology&Hepatology Department of Internal MedicineUniversity of Texas Medical BranchGalvestonTXUSA

Background:Diverticular bleeding(DB)is the most common cause of severe acute lower gastrointestinal bleeding(GIB)in developed *** role of early colonoscopy(<24 hours)continues to remain controversial and data on early... 详细信息

Background:Diverticular bleeding(DB)is the most common cause of severe acute lower gastrointestinal bleeding(GIB)in developed *** role of early colonoscopy(colonoscopy in acute DB are *** aimed to evaluate the effect of timing of colonoscopy on outcomes in patients with acute DB using a nationwide inpatient ***:Data from the nationwide inpatient sample from 2012 to 2014 were *** ninth version of the International Classification of Diseases coding system ICD 9 was used for patient *** included discharges with the primary and secondary inpatient diagnosis of diverticulosis with bleeding and diverticulitis with *** with no primary or secondary diagnosis of diverticulosis with bleeding,diverticulitis with bleeding,patients who were less than 18 years old and those who did not undergo colonoscopy during the admission were *** primary outcomes were length of stay(LOS)and total hospitalization ***:A total of 88600 patients were included in our analysis,amongstwhom 45020(50.8%)had colonoscopy within 24hours of admission(early colonoscopy),while 43580(49.2%)patients had colonoscopy after 24hours of admission(late colonoscopy).LOS was significantly lower in patients with early colonoscopy as compared to those with late colonoscopy(3.7 vs 5.6days,Pcolonoscopy($9317 vs$11767,Pcolonoscopy remained statistically ***:Early colonoscopy in acute DB significantly reduced LOS and total hospitalization *** was no significant difference inmortality *** of early colonoscopy in the appropriate patients presenting with acute DB

关键词： Diverticular bleeding colonoscopy lower gastrointestinal bleeding timing of colonoscopy

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