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Outcomes in lower GI bleeding comparing weekend with weekday admission
Brian Li1, Daniel J Stein2, Jeffrey Schwartz1
1Department of Internal Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA.
Gastrointestinal Endoscopy
|April 25, 2020
Summary
Weekend admission for lower gastrointestinal bleeding (LGIB) does not impact patient mortality or overall hospital outcomes. While early colonoscopy is more frequent on weekdays, this does not affect patient results.
Area of Science:
- Gastroenterology
- Inpatient Care
- Health Services Research
Background:
- Acute lower gastrointestinal bleeding (LGIB) is a frequent cause of hospitalization.
- Urgent interventions for LGIB may be less accessible during off-hours and weekends.
- This study investigates the impact of weekend admissions for LGIB on patient outcomes.
Purpose of the Study:
- To determine if weekend admission for LGIB is associated with increased mortality.
- To analyze the effect of weekend admission on time to colonoscopy.
- To assess the impact on length of stay and hospital charges.
Main Methods:
- Utilized the 2016 U.S. National Inpatient Sample (NIS) dataset.
- Compared outcomes for weekend versus weekday LGIB admissions.
- Employed multivariable regression analysis adjusting for comorbidities and interventions.
Main Results:
- No significant difference in mortality between weekend and weekday LGIB admissions.
- Early colonoscopy (within 24 hours) was more common during weekdays.
- No differences observed in overall colonoscopy rates, angiography rates, time to colonoscopy, or length of stay.
Conclusions:
- Weekend admission for LGIB does not adversely affect patient mortality or length of stay.
- While early colonoscopy is more prevalent on weekdays, overall patient outcomes remain unaffected by admission timing.
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