Inpatient Endoscopy Procedure Planning Delays and Impact on Length of Stay and 30-day Readmission
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 3,700
- 试验地点
- 1
- 主要终点
- Rate of inpatient endoscopy delays (IED)
研究概览
简要总结
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
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •Elective admission
- •Procedure only for insertion of nasogastric or nasojejunal (feeding) tube without any other diagnostic or therapeutic aims
结局指标
主要结局
Rate of inpatient endoscopy delays (IED)
时间窗: 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
时间窗: 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
时间窗: at endoscopic procedure
Type of sedation during endoscopic procedure: No sedation/conscious sedation/general anesthesia
次要结局
- rate of 30-day readmissions(up to 30 days)
- Median length of hospital stay(through study cohort period from 1 january 2016 until 31 december 2022)
- 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)
- Odds ratio of presence of inpatient endoscopy delays for risk of 30-day readmissions(from admission till 30 days after discharge)