Inpatient Endoscopy Delay, Prolonged Hospital Stay, Readmission
Conditions
Brief summary
Single center retrospective cohort study of all inpatient endoscopy procedures to asses factors associated with inpatient endoscopy delays and impact on length of stay and 30-day readmission
Detailed description
Background: Delays in inpatient endoscopy planning negatively influence the quality and accessibility of care. This may result in higher healthcare costs, negative health outcomes, and unnecessary readmissions and use of hospital beds. Additionally, prolonged hospital stay is associated with poorer health outcomes and risk of nosocomial infections, amongst others. Objective: To asses factors associated with inpatient endoscopy delays and impact on length of stay and 30-day readmission Study design: Single center retrospective cohort study of all inpatient endoscopy procedures (gastroscopy, colonoscopy, ERCP, sigmoidoscopy) during 2016-2022. Data will be identified and extracted using CTCue. Only pseudonymized data will be used. Inpatient endoscopy delay will be defined as the number of days between the planned date versus the actual date. Multivariable logistic regression models will be performed to assess factors associated with inpatient endoscopy delay.
Interventions
PROCEDUREInpatient gastrointestinal endoscopy
all inpatient endoscopy procedures (gastroscopy, colonoscopy, ERCP, sigmoidoscopy) during 2016-2022.
Sponsors
Radboud University Medical Center
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult patients (\>18 years) * Clinical admission in any hospital department of at least two days during 1 January 2016 and 1 December 2022 * Endoscopic procedure during clinical admission, including gastroscopy, endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound (EUS), flexible sigmoidoscopy, colonoscopy
Exclusion criteria
* Elective admission * Procedure only for insertion of nasogastric or nasojejunal (feeding) tube without any other diagnostic or therapeutic aims
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of inpatient endoscopy delays (IED) | at endoscopic procedure | IED will be defined as the number of days between the planned date versus the actual date. |
| Difference in type of endoscopic procedure between patients with and without IED | at endoscopic procedure | Type of endoscopic procedure: gastroscopy/colonoscopy/endoscopic retrograde cholangio-pancreaticography (ERCP) |
| Difference in type of sedation between patients with and without IED | at endoscopic procedure | Type of sedation during endoscopic procedure: No sedation/conscious sedation/general anesthesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Median length of hospital stay | through study cohort period from 1 january 2016 until 31 december 2022 | length of hospital admission in days |
| Odds ratio of presence of inpatient endoscopy delays for risk of 30-day readmissions | from admission till 30 days after discharge | multivariable logistic regression modelling to assess factors associated with both outcomes and the impact of inpatient endoscopy delay |
| rate of 30-day readmissions | up to 30 days | percentage of readmissions within 30 days after initial discharge |
| Odds ratio of presence of inpatient endoscopy delays for risk of prolonged length of hospital stay and 30-day readmissions | from admission till 30 days after discharge | multivariable logistic regression modelling to assess factors associated with both outcomes and the impact of inpatient endoscopy delay |
Countries
Netherlands
Contacts
Primary ContactMilou van Riswijk, MD, Msc
Outcome results
None listed