Impatience: Inpatient Endoscopy Procedure Planning Delays and Impact on Length of Stay and 30-day Readmission
Study Details
Study Description
Brief Summary
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
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Detailed Description
Background: Delays in inpatient endoscopy planning negatively influence the quality and accessibility of care. This may result in higher healthcare costs, negative health outcomes, and unnecessary readmissions and use of hospital beds. Additionally, prolonged hospital stay is associated with poorer health outcomes and risk of nosocomial infections, amongst others.
Objective: To asses factors associated with inpatient endoscopy delays and impact on length of stay and 30-day readmission
Study design: Single center retrospective cohort study of all inpatient endoscopy procedures (gastroscopy, colonoscopy, ERCP, sigmoidoscopy) during 2016-2022. Data will be identified and extracted using CTCue. Only pseudonymized data will be used. Inpatient endoscopy delay will be defined as the number of days between the planned date versus the actual date. Multivariable logistic regression models will be performed to assess factors associated with inpatient endoscopy delay.
Study Design
Outcome Measures
Primary Outcome Measures
- Rate of inpatient endoscopy delays (IED) [at endoscopic procedure]
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 [at endoscopic procedure]
Type of endoscopic procedure: gastroscopy/colonoscopy/endoscopic retrograde cholangio-pancreaticography (ERCP)
- Difference in type of sedation between patients with and without IED [at endoscopic procedure]
Type of sedation during endoscopic procedure: No sedation/conscious sedation/general anesthesia
Secondary Outcome Measures
- Median length of hospital stay [through study cohort period from 1 january 2016 until 31 december 2022]
length of hospital admission in days
- rate of 30-day readmissions [up to 30 days]
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 [from admission till 30 days after discharge]
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 [from admission till 30 days after discharge]
multivariable logistic regression modelling to assess factors associated with both outcomes and the impact of inpatient endoscopy delay
Eligibility Criteria
Criteria
Inclusion Criteria:
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Adult patients (>18 years)
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Clinical admission in any hospital department of at least two days during 1 January 2016 and 1 December 2022
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Endoscopic procedure during clinical admission, including gastroscopy, endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound (EUS), flexible sigmoidoscopy, colonoscopy
Exclusion Criteria:
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Elective admission
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Procedure only for insertion of nasogastric or nasojejunal (feeding) tube without any other diagnostic or therapeutic aims
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Radboud university medical center | Nijmegen | Gelderland | Netherlands | 6525GA |
Sponsors and Collaborators
- Radboud University Medical Center
Investigators
- Principal Investigator: Peter Siersema, MD, PhD, Radboud University Medical Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2023-16151