Gastroenterology Digestive System Gastroenterology
Conditions
Interventions
Patients presenting at the emergency department with acute hematochezia are consecutively included in the trial when they had an indication for clinical colonoscopy, according to the Dutch Guideline ‘
Sponsors
Research Fund of the Haaglanden Medical Centre
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 18 years or over 2. Last bloody bowel movement within 24 hours of presentation 3. Ability to provide informed consent 4. No suspicion of or exclusion of an upper gastrointestinal bleeding source
Exclusion criteria
Exclusion criteria: 1. Known or suspected acute ischemic bowel, perforation or peritonitis 2. Hemodynamic instability refractory to resuscitation 3. Coagulopathy refractory to correction 4. Documented pregnancy 5. Serious comorbidities that would preclude the use of colonoscopy in standard clinical practice (i.e. severe COPD, severe cardiovascular comorbidity) 6. Decreased level of consciousness.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hospital length of stay (in days) is measured calculated using the date and time of admission to hospital and the date and time of hospital discharge. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The yield of colonoscopy, defined as diagnosing either a confirmed or presumptive source of bleeding and treatment if feasible is obtained from electronic patient charts (colonoscopy reports) 2. The number of packed red blood cells is obtained from the electronic patient charts 3. Information on readmissions and the reason for readmission (rectal blood loss) is obtained from the electronic patient chart 4. Information on complications are obtained from the electronic patient chart 5. 30 day mortality is obtained from the electronic patient chart | — |
Countries
Netherlands
Contacts
Public ContactInge van Rongen
Outcome results
None listed