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Related Experiment Videos

[Clinical pathway for bleeding peptic ulcers].

Akira Mizuki1, Masayuki Tatemichi, Mitsuhiro Nikaido

  • 1Department of Internal Medicine, Saiseikai Central Hospital, Tokyo.

Nihon Shokakibyo Gakkai Zasshi = the Japanese Journal of Gastro-Enterology
|May 13, 2006
PubMed
Summary

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A new clinical pathway (CP) for bleeding peptic ulcers (BPU) safely reduced hospital stays and costs. This protocol proved effective, even in elderly patients, though with slightly higher variance.

Area of Science:

  • Gastroenterology
  • Clinical Medicine
  • Health Services Research

Context:

  • Peptic ulcer bleeding (PUB) is a significant cause of morbidity and mortality.
  • Endoscopic treatment is the primary intervention for acute PUB.
  • Optimizing patient management pathways can improve outcomes and reduce healthcare costs.

Purpose:

  • To evaluate the safety and efficacy of a novel clinical pathway (CP) protocol for managing patients with bleeding peptic ulcers (BPU) after endoscopic treatment.
  • To assess the impact of the CP on length of hospital stay and identify factors influencing its adaptation and variance.

Summary:

  • A clinical pathway (CP) protocol was developed and implemented for patients with bleeding peptic ulcers (BPU) who underwent endoscopic treatment and had no severe comorbidities.

Related Experiment Videos

  • The CP demonstrated a high adaptation rate (78.8%) with a variance rate of 13.5%.
  • The median length of hospital admission significantly decreased from 10.0 days before CP implementation to 7.4 days after.

    • Impact:

    • The implemented CP for BPU is safe and effective, leading to reduced hospital stays and associated cost savings.
    • The pathway showed success in elderly patients, although a higher variance rate was observed compared to younger patients.
    • This study highlights the potential of standardized clinical pathways to optimize care for BPU patients.