上部胃肠道出血的EGD后再接收事件:使用国家再接收数据库进行分析
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Updated: May 10, 2025

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Vignesh Krishnan Nagesh1, Vivek Joseph Varughese2, Jaber Musalli1
1Hackensack Palisades Medical Center, 7600 River Rd, North Bergen, NJ 07047, USA.
上部胃肠道出血 (UGIB) 再入院在食管胃肠道透视术 (EGD) 后很常见,通常是由于反复出血. 关键的危险因素包括肝硬化和未经治疗的H. pylori,需要有针对性的出院后护理.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 上部胃肠道出血 (UGIB) 是一个重要的健康问题,发病率和死亡率很高.
- 消化管胃管腺镜 (EGD) 是UGIB诊断和治疗的标准,但出院后的结果需要进一步调查.
研究的目的:
- 为了确定30天的再接收率后EGD的UGIB.
- 确定与UGIB再录取相关的人口,临床和社会经济因素.
主要方法:
- 对2021年国家再接收数据库 (NRD) 的分析.
- 包括接受UGIB和EGD的成年患者 (≥18岁),不包括在医院死亡.
- 多变量后勤回归用于识别重新接收的预测因素.
主要成果:
- 在34,257名患者中,观察到32.4%的30天再入院率,其中49%是由于复发的UGIB.
- 再入院的患者年龄较大,肝硬化发病率较高.
- 重新入院的重要预测因素包括肝硬化,未经治疗的H. pylori,心房动,慢性抗血栓治疗和较低的社会经济地位.
结论:
- 由于UGIB,EGD后的再接收频繁,主要是由于经常性出血.
- 肝硬化,未经治疗的H. pylori,心房动和抗凝剂是关键的危险因素.
- 有针对性的干预措施和优化后释放管理对于减少再接收和改善结果至关重要.
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