Add-on cases in the endoscopy unit: Factors that affect volume.
Summary
Emergency add-on endoscopy cases, particularly esophagastroduodenoscopy (EGD), are more common on Mondays. Fewer emergency add-on procedures occur on Fridays and in September, indicating variability that requires careful resource planning for optimal patient care.
Area of Science:
- Gastroenterology
- Health Services Research
- Endoscopic Procedures
Background:
- Hospital-based endoscopy clinics commonly manage emergency add-on cases, which are resource-intensive compared to elective procedures.
- Understanding factors influencing emergency add-on case volume is crucial for efficient clinic operations.
Purpose of the Study:
- To identify specific factors associated with the high volume of emergency add-on cases in a tertiary care endoscopy unit.
- To compare the characteristics of add-on emergency endoscopy cases with elective cases.
Main Methods:
- Retrospective chart review of gastrointestinal endoscopy cases (esophagastroduodenoscopy, colonoscopy, flexible sigmoidoscopy) from September 2006 to May 2007.
- Analysis included day of the week, month, procedure type, and physician, comparing add-on cases with elective procedures.
Main Results:
- Add-on cases were more likely to be esophagastroduodenoscopies (EGDs) and less likely to be colonoscopies (Cs) compared to elective cases.
- Significantly more add-on cases occurred on Mondays and fewer on Fridays.
- Fewer add-on cases were observed in September compared to other months.
Conclusions:
- The current system, with weekend emergency cases, leads to higher add-on volumes on Mondays.
- Esophagastroduodenoscopy (EGD) is more frequent in add-on cases, aligning with upper gastrointestinal bleeding as a common emergency.
- Variability in add-on case numbers suggests multiple influencing factors, necessitating robust resource planning for patient care.
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