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 volunteersQualifiers
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
Cohort
Retrospective
Treatments tested in this trial
Inpatient gastrointestinal endoscopy
Procedure/Surgeryall inpatient endoscopy procedures (gastroscopy, colonoscopy, ERCP, sigmoidoscopy) during 2016-2022.
Treatment groups
Trial outcomes
Primary outcomes
Rate of inpatient endoscopy delays (IED)
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
Type of endoscopic procedure: gastroscopy/colonoscopy/endoscopic retrograde cholangio-pancreaticography (ERCP)
Difference in type of sedation between patients with and without IED
Type of sedation during endoscopic procedure: No sedation/conscious sedation/general anesthesia
Secondary outcomes
Median length of hospital stay
length of hospital admission in days
rate of 30-day readmissions
percentage of readmissions within 30 days after initial discharge
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
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
Sponsors and contacts
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