Inpatient Endoscopy Procedure Planning Delays and Impact on Length of Stay and 30-day Readmission

Not yet recruiting

• Conditions: Readmission; Prolonged Hospital Stay; Inpatient Endoscopy Delay

• Registration Number: NCT05798065
• Lead Sponsor: Radboud University Medical Center

Brief Summary

Single center retrospective cohort study of all inpatient endoscopy procedures to asses factors associated with inpatient endoscopy delays and impact on length of stay and 30-day readmission

Detailed Description

Background: Delays in inpatient endoscopy planning negatively influence the quality and accessibility of care. This may result in higher healthcare costs, negative health outcomes, and unnecessary readmissions and use of hospital beds. Additionally, prolonged hospital stay is associated with poorer health outcomes and risk of nosocomial infections, amongst others.

Objective: To asses factors associated with inpatient endoscopy delays and impact on length of stay and 30-day readmission

Study design: Single center retrospective cohort study of all inpatient endoscopy procedures (gastroscopy, colonoscopy, ERCP, sigmoidoscopy) during 2016-2022. Data will be identified and extracted using CTCue. Only pseudonymized data will be used. Inpatient endoscopy delay will be defined as the number of days between the planned date versus the actual date. Multivariable logistic regression models will be performed to assess factors associated with inpatient endoscopy delay.

Study Timeline

• Study First Submitted: 2023-01-08
• Study First Submitted QC: 2023-04-03
• Study First Posted: 2023-04-04
• Status Verified: 2024-11
• Last Update Submitted: 2024-11-18
• Last Update Posted: 2024-11-21
• Study Start: 2025-04-01
• Primary Completion: 2025-06-30
• Study Completion: 2025-06-30

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 3700

Inclusion Criteria

• Adult patients (>18 years)
• Clinical admission in any hospital department of at least two days during 1 January 2016 and 1 December 2022
• Endoscopic procedure during clinical admission, including gastroscopy, endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound (EUS), flexible sigmoidoscopy, colonoscopy

Exclusion Criteria

• Elective admission
• Procedure only for insertion of nasogastric or nasojejunal (feeding) tube without any other diagnostic or therapeutic aims

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Rate of inpatient endoscopy delays (IED)	at endoscopic procedure	IED will be defined as the number of days between the planned date versus the actual date.
Difference in type of endoscopic procedure between patients with and without IED	at endoscopic procedure	Type of endoscopic procedure: gastroscopy/colonoscopy/endoscopic retrograde cholangio-pancreaticography (ERCP)
Difference in type of sedation between patients with and without IED	at endoscopic procedure	Type of sedation during endoscopic procedure: No sedation/conscious sedation/general anesthesia

Secondary Outcome Measures

Name	Time	Method
Median length of hospital stay	through study cohort period from 1 january 2016 until 31 december 2022	length of hospital admission in days
rate of 30-day readmissions	up to 30 days	percentage of readmissions within 30 days after initial discharge
Odds ratio of presence of inpatient endoscopy delays for risk of prolonged length of hospital stay and 30-day readmissions	from admission till 30 days after discharge	multivariable logistic regression modelling to assess factors associated with both outcomes and the impact of inpatient endoscopy delay
Odds ratio of presence of inpatient endoscopy delays for risk of 30-day readmissions	from admission till 30 days after discharge	multivariable logistic regression modelling to assess factors associated with both outcomes and the impact of inpatient endoscopy delay

Trial Locations

Locations (1)

Radboud university medical center; 🇳🇱 Nijmegen, Gelderland, Netherlands