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

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorRadboud University Medical Center

About this trial

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

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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

Disqualifiers

Elective admission

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

Trial population

Adult inpatients from all hospital departments undergoing endoscopy procedures. Patients will be selected via CTCue, with an admission based query that selects all adult patients with an admission of at least two days between 1-1-2014 and 1-12-2022 AND an endoscopic care activity.

Trial design

Design model

Cohort

Time perspective

Retrospective

Treatments tested in this trial

  • Inpatient gastrointestinal endoscopy

    Procedure/Surgery

    all inpatient endoscopy procedures (gastroscopy, colonoscopy, ERCP, sigmoidoscopy) during 2016-2022.

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

Rate of inpatient endoscopy delays (IED)

IED will be defined as the number of days between the planned date versus the actual date.

Time frame
at endoscopic procedure
2

Difference in type of endoscopic procedure between patients with and without IED

Type of endoscopic procedure: gastroscopy/colonoscopy/endoscopic retrograde cholangio-pancreaticography (ERCP)

Time frame
at endoscopic procedure
3

Difference in type of sedation between patients with and without IED

Type of sedation during endoscopic procedure: No sedation/conscious sedation/general anesthesia

Time frame
at endoscopic procedure

Secondary outcomes

1

Median length of hospital stay

length of hospital admission in days

Time frame
through study cohort period from 1 january 2016 until 31 december 2022
2

rate of 30-day readmissions

percentage of readmissions within 30 days after initial discharge

Time frame
up to 30 days
3

Odds ratio of presence of inpatient endoscopy delays for risk of prolonged length of hospital stay and 30-day readmissions

multivariable logistic regression modelling to assess factors associated with both outcomes and the impact of inpatient endoscopy delay

Time frame
from admission till 30 days after discharge
4

Odds ratio of presence of inpatient endoscopy delays for risk of 30-day readmissions

multivariable logistic regression modelling to assess factors associated with both outcomes and the impact of inpatient endoscopy delay

Time frame
from admission till 30 days after discharge

Other outcomes

Sponsors and contacts

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