The Weekend Effect and Its Possible Influence on the Prognosis of Patients With Non-varicose Upper Gastrointestinal Bleeding

Observational Study About the Weekend Effect and Its Possible Influence on the Prognosis of Patients With Non-varicose Gastrointestinal Bleeding

Status

UNKNOWN

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT04296435

Enrollment

1320

Registered

2020-03-05

Start date

2019-10-28

Completion date

2021-12-31

Last updated

2020-03-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute Upper Gastrointestinal Hemorrhage

Keywords

Weekend effect, non-varicose upper gastrointestinal bleeding

Brief summary

The hypothesis is that the mortality of patients with non-varicose upper gastrointestinal bleeding after performing early gastroscopy who are admitted on weekends and night hours is higher than those admitted on weekdays or during daytime hours.

Detailed description

The aim of the study is to evaluate the impact of the schedule (day or night) and the day of admission (working or weekend / night) on the mortality of patients with non-varicose upper gastrointestinal bleeding after performing an early gastroscopy. A retrospective observational study will be carried out in patients admitted to the bleeding unit of the Santa Creu I Sant Pau Hospital, where we observed hospital mortality and 30 days after performing an early gastroscopy, the duration of admission, signs of hemorrhagic activity in a period of less than 12 h. After early gastroscopy and types of endoscopic treatments, data will be collected by reviewing medical records. The number of patients expected to be included in this study is 1320 patients. Patients will be included the day they enter the bleeding unit for an early gastroscopy.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Patients older than 18 years. * Patients admitted to the Bleeding Unit with a diagnosis of upper gastrointestinal bleeding. * Patients who have undergone an early endoscopy to determine the source of bleeding. * In case of readmissions during the study period, we consider only the admission closest to his death or discharge.

Exclusion criteria

* Patients diagnosed with gastrointestinal bleeding varicose. * Patients who present with gastrointestinal bleeding and did not perform early gastroscopy (during the first 24 hours) * Patients admitted for different medical conditions, who developed upper gastrointestinal bleeding during the course of hospital stay.

Design outcomes

Primary

Measure	Time frame	Description
Mortality	During the years 2017 and 2018	In-hospital mortality and at 30 days after early gastroscopy will be assessed through clinical history observation, within the study period

Secondary

Measure	Time frame	Description
Entry Duration	During the years 2017 and 2018	The time between admission and discharge
Signs of bleeding activity in a period of less than 12 h. post gastroscopy early.	During the years 2017 and 2018	It will be evaluated using the Rockall scale
Type of endoscopic treatments	During the years 2017 and 2018	Hemostasis can be performed by applying different techniques or a combination of them

Countries

Spain

Contacts

Primary ContactLuzdivina Perez Garcia

Lperez@santpau.cat699940025

Outcome results