Caustic Ingestion in Adults: Predicting Outcomes with Endoscopic Classification
Author Information
Author(s): Cheng Hao-Tsai, Cheng Chi-Liang, Lin Cheng-Hui, Tang Jui-Hsiang, Chu Yin-Yi, Liu Nai-Jen, Chen Pang-Chi
Primary Institution: Chang Gung Memorial Hospital
Hypothesis
The study aims to evaluate the role of a 6-point EGD classification system of injury in predicting outcomes in adult patients diagnosed with caustic agent ingestion.
Conclusion
EGD should be performed within 12 to 24 hours for patients with caustic ingestion, as grade 3b injuries are associated with high rates of morbidity.
Supporting Evidence
- Grade 3b injury was the most common caustic injury, followed by grade 2b injuries.
- Stricture was the most common complication observed in patients.
- Patients with grade 3b injuries had significantly higher rates of ICU admission and prolonged hospital stays.
Takeaway
If someone drinks something dangerous, doctors can use a special camera to see how bad the damage is and help them get better.
Methodology
A retrospective medical chart review of 273 patients who underwent EGD within 24 hours of caustic ingestion.
Potential Biases
There may be bias due to the retrospective nature of the study and reliance on medical records.
Limitations
The study is limited by its retrospective design and potential missing data.
Participant Demographics
The study included 127 males (47%) and 146 females (53%) with a mean age of 43.77 years.
Statistical Information
P-Value
p<0.05
Confidence Interval
95% CI: 1.25–4.80
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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