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- W3106820003 abstract "Background Whilst it is commonly recommended that patients presenting with acute upper gastrointestinal bleeding (AUGIB) should receive endoscopic evaluation within 24 hours, the optimal timing is yet to be established. We aimed to assess, for AUGIB patients, whether endoscopy timing after hospital admission would significantly affect clinical outcomes. Methods We conducted a retrospective, territory-wide, cohort study with clinical data extracted from the Hong Kong Hospital Authority (HA) Clinical Data Analysis and Reporting System (CDARS). Patients of age 18 and above that (a) presented with AUGIB to the public hospital between 2013–2019 and (b) received therapeutic endoscopy within 48 hours (n = 6,474) were recruited. Patients were classified into 3 groups based on endoscopic timing after admission: urgent (t ≤ 6), early (6 Results With IPTW, differences in patient characteristics across 3 groups were well balanced. Results showed that urgent (n = 1,008) and late endoscopy (n = 1,601) had worse outcomes compared to early endoscopy (n = 3,865), with higher 30-day mortality, repeat endoscopy rates and ICU admission rates. Conclusions Compared to urgent and late endoscopy, early endoscopy timing was significantly associated with superior outcomes. This supports the notion that AUGIB patients should receive endoscopy within 24 hours, but also emphasises the importance of adequate resuscitation, medical optimisation and pharmacotherapy before rushing patients to endoscopy." @default.
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- W3106820003 date "2020-11-01" @default.
- W3106820003 modified "2023-10-16" @default.
- W3106820003 title "IDDF2020-ABS-0194 Timing of endoscopy for acute upper gastrointestinal bleeding: a territory-wide cohort study" @default.
- W3106820003 doi "https://doi.org/10.1136/gutjnl-2020-iddf.116" @default.
- W3106820003 hasPublicationYear "2020" @default.
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