Evaluating the Safety and Effectiveness of Regional Upper GI Bleed Services
Author Information
Author(s): Muacevic Alexander, Adler John R, Sai Chaitthanya, Baskar Sangeetha, Nair Abhinav, Schembri John, Bhagrav Srishti, Kumarapeli Kushan, Nishad Nilanga, Thoufeeq Mo
Primary Institution: Sheffield Teaching Hospitals NHS Foundation Trust
Hypothesis
The study aims to compare clinical outcomes of patients with acute upper gastrointestinal bleeding based on their admission type.
Conclusion
The study found that regional bleeding services are safe and effective.
Supporting Evidence
- The transferred patients received earlier endoscopic interventions compared to direct admissions.
- The 30-day mortality rate was higher in the transferred group.
- Patients in the transferred group were younger on average.
Takeaway
This study shows that patients with severe stomach bleeding can get better care when transferred to specialized hospitals.
Methodology
The study analyzed data from patients referred for management of AUGIB between April 2018 and March 2022, comparing demographics, outcomes, and clinical management details.
Potential Biases
Potential selection bias due to unrecorded patients unfit for transfer.
Limitations
Lack of detailed information on pre-transfer care and patients unfit for transfer may introduce bias.
Participant Demographics
The transferred group had a median age of 58 years, while the direct admission group had a median age of 67 years.
Statistical Information
P-Value
0.001
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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