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- W2922361111 abstract "Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) carries a high risk for complications including pancreatitis, perforation and bleeding that can be associated with high in-hospital mortality. We aimed to examine the trend of ERCP related complications and associated mortality in a national sample. Methods: The 2010-2014 Nationwide inpatient sample (NIS) dataset was used to identify patients undergoing inpatient ERCP using International Classification Disease-9 (ICD-9) codes and post procedure complications like pancreatitis, hemorrhage and perforation. We assessed continuous and categorical variables by student t-test and chi-square test respectively. SPSS Statistics 22.0 (IBM Corp., Armonk, NY) was utilized for statistical analysis. Results: There were 175,158 (weighted N=867,841) patients who underwent ERCP during 2010-2014. The cumulative incidence of post-ERCP pancreatitis, hemorrhage, and perforation was 1.24% (N=10843), 1.19% (N=10,373) and 0.16% (N=1395) respectively. The mortality rate due to post-ERCP pancreatitis, hemorrhage, and perforation was 2.5% (273/10843), 4.6% (476/10373) and 12.0% (168/1395) (Table 1). Total charges and length of stay associated with post-ERCP complications are also summarized in Table 1. The racial distribution of mortality from ERCP related complications is summarized in table 2. Mortality from ERCP related pancreatitis, perforation and hemorrhage in white patients per 10,000 ERCP procedures was 3.02, 2.15 and 4.5respectively. Similar rates for African American patients was 3.28, 3.28 and 6.55 respectively, in Hispanic patients rate was 3.67,0 and 4.62 respectively and in Asian patients rate was 1.47, 0 and 14.3 respectively. Conclusion: Hemorrhage was a most commonly associated with post-ERCP mortality in all race compare to pancreatitis and perforation.764_A Figure 1. ERCP related Complications and their Mortality and Hospital stay764_B Figure 2. Racial distribution of ERCP complication related Mortality" @default.
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- W2922361111 date "2018-10-01" @default.
- W2922361111 modified "2023-09-23" @default.
- W2922361111 title "Endoscopic Retrograde Cholangiopancreatography-Related Complications From the Nationwide Inpatient Sample: An Analysis of Racial Distribution, Length of Stay, and Mortality" @default.
- W2922361111 doi "https://doi.org/10.14309/00000434-201810001-00764" @default.
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