PMID: 9544587Apr 17, 1998Paper

The effectiveness of early endoscopy for upper gastrointestinal hemorrhage: a community-based analysis

Medical Care
G S CooperG E Rosenthal

Abstract

The effectiveness of upper endoscopy in unselected patients with upper gastrointestinal hemorrhage has not been well studied. This study was undertaken to identify factors associated with the performance of early endoscopy (ie, within 1 day of hospitalization) and, after adjusting for these factors, to determine associations between early endoscopy and in-hospital mortality, length of stay, and performance of surgery. Subjects in this observational cohort study were 3,801 consecutive admissions with upper gastrointestinal hemorrhage to 30 hospitals in a large metropolitan region. Demographic and clinical data were abstracted from hospital records. A multivariable model based on factors that potentially could relate to the decision to perform endoscopy was developed to determine the propensity (0 to 100%) for early endoscopy in each patient. Early endoscopy was performed in 2,240 patients (59%), and although it was not associated with mortality after adjusting for severity of illness among all patients, it was associated with a higher risk of death for patients in the lowest propensity group. Early endoscopy was associated with a lower likelihood of upper gastrointestinal surgery in all patients and in the two highest propensity...Continue Reading

References

Mar 1, 1992·Journal of Clinical Gastroenterology·F L IberD M Kruss
Jul 25, 1990·JAMA : the Journal of the American Medical Association·H S SacksD Pagano
Sep 8, 1989·JAMA : the Journal of the American Medical Association
Oct 1, 1989·Médecine Interne·R Voiosu
May 1, 1981·Gastrointestinal Endoscopy·F E SilversteinJ Persing
Jul 1, 1981·Digestive Diseases and Sciences·D A GilbertF J Tedesco
Apr 16, 1981·The New England Journal of Medicine·W L PetersonD B Corbett
Sep 15, 1994·The New England Journal of Medicine·L Laine, W L Peterson
May 18, 1994·JAMA : the Journal of the American Medical Association·M G MillerS B Black
Sep 18, 1996·JAMA : the Journal of the American Medical Association·A F ConnorsW A Knaus

❮ Previous
Next ❯

Citations

Jul 24, 2008·Journal of General Internal Medicine·Horng-Yuan LouKuan-Yang Chen
Jul 15, 2009·Nature Reviews. Gastroenterology & Hepatology·Kelvin K F TsoiJoseph J Y Sung
Dec 3, 2014·Gastroenterology Clinics of North America·Yidan LuAlan Barkun
Dec 26, 2015·Journal of Pediatric Surgery·Mike Thomson, Dalia Belsha
Mar 29, 2007·ANZ Journal of Surgery·Vu Kwan, Ian D Norton
Jul 16, 2003·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Yves M GagnonRobert A Enns
Jun 16, 2016·The New England Journal of Medicine·Loren Laine
Jul 28, 2009·Gastrointestinal Endoscopy·Brennan M R Spiegel
Feb 9, 2012·The American Journal of Gastroenterology·Loren Laine, Dennis M Jensen
Aug 8, 2006·Pharmacoepidemiology and Drug Safety·Dan R BerlowitzJames A Rothendler
Mar 18, 2010·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Jorge T GoPeter J Kaboli
Sep 15, 2012·Clinical Endoscopy·Seung Young KimSang Woo Lee
Apr 4, 2020·The New England Journal of Medicine·Loren Laine
Apr 4, 2020·The New England Journal of Medicine·James Y W LauJoseph J Y Sung
May 1, 2021·The American Journal of Gastroenterology·Loren LaineGrigorios I Leontiadis

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.