Journal article
Upper versus lower gastrointestinal bleeding: A direct comparison of clinical presentation, outcomes, and resource utilization
Journal of hospital medicine, Vol.5(3), pp.141-147
03/2010
DOI: 10.1002/jhm.606
PMID: 20235282
Abstract
PURPOSE:
To compare prevalence, clinical outcomes, and resource utilization between subjects with lower gastrointestinal bleeding (LGIB) and upper gastrointestinal bleeding (UGIB).
METHODS:
Using administrative data, patient surveys, and chart abstraction, comparisons between subjects admitted with LGIB and UGIB were made by employing bivariate and multivariate statistics.
RESULTS:
A total of 367 subjects were identified, LGIB = 187 and UGIB = 180. Subjects with UGIB compared to LGIB had greater admission hemodynamic instability including tachycardia and orthostasis but clinical outcomes were similar. In multivariate analyses, no significant differences were observed for in-hospital mortality transfer to the intensive care unit (ICU) or 30-day readmission rate. Resource utilization was similar in UGIB and LGIB, including mean costs, length of stay, and number of endoscopic procedures.
CONCLUSIONS:
Unlike prior studies, this direct comparison of LGIB to UGIB identified more similarities than differences with similar prevalence rates, clinical outcomes, and resource utilization, suggesting that the epidemiology of gastrointestinal bleeding may be changing.
Details
- Title: Subtitle
- Upper versus lower gastrointestinal bleeding: A direct comparison of clinical presentation, outcomes, and resource utilization
- Creators
- Chad T Whelan - Department of Internal Medicine, Loyola University Chicago Stritch School of Medicine, Maywood, IllinoisConnie Chen - Pfizer Pharmaceuticals, New York, New YorkPeter Kaboli - Center for Research in the Implementation of Innovative Strategies in Practice (CRIISP) at the Iowa City Veterans Affairs (VA) Healthcare System, Iowa City, IowaJuned Siddique - Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IllinoisMicah Prochaska - Boonshoft School of Medicine, Wright State University, Dayton, OhioDavid O Meltzer - Department of Internal Medicine, University of Chicago, Chicago, Illinois
- Resource Type
- Journal article
- Publication Details
- Journal of hospital medicine, Vol.5(3), pp.141-147
- Publisher
- Wiley Subscription Services, Inc., A Wiley Company
- DOI
- 10.1002/jhm.606
- PMID
- 20235282
- ISSN
- 1553-5592
- eISSN
- 1553-5606
- Number of pages
- 7
- Language
- English
- Date published
- 03/2010
- Academic Unit
- Epidemiology; Internal Medicine
- Record Identifier
- 9984094721202771
Metrics
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