acute gastro-intestinal bleeding acute hematochezia
Conditions
Interventions
Early colonoscopy versus standard colonoscopy
Sponsors
Medisch Centrum Haaglanden
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: All adults aged 18 years or older, presenting with acute hematochezia in the emergency department are included when: - able to provide written informed consent - the last bloody bowel movement is within 24 hours of presentation - an upper gastro-intestinal bleeding source is not suspected or excluded by upper endoscopy;Criteria for suspicion of an upper source are: - blood urea > 10% of creatinin value - collapse - hemodynamic instability (one of the following high risk features present): * heart rate > 100 beats/min * systolic blood pressure 20 mmHg or in heart rate >20 beats/min * blood transfusion or drop in haemoglobin >1 mmol/l within a 6 hour period
Exclusion criteria
Exclusion criteria: Patients are excluded when: - age
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hospital length of stay (LOS) in days. | — |
Secondary
| Measure | Time frame |
|---|---|
| Blood transfusion requirements, yield of colonoscopy, rebleeding, subsequent diagnostic or therapeutic interventions related to bleeding, need for additional diagnostic and/or therapeutic interventions, mortality, morbidity related to hospital stay and hospital charges | — |
Countries
Netherlands
Outcome results
None listed