Comparing Result between Early and Delayed Endoscopy in Non-Variceal Upper GI Bleeding Patients with stable vital sign in Prachuapkhirikhan Hospital.
Keywords:
non-variceal UGIB, mortality rate, morbidityAbstract
Abstract
Objective: This research required the comparison between early endoscopy and delayed endoscopy which had effected on mortality and morbidity rates (rebleeding in 30 days, amount of blood transfusion,and length of stay).
Methods: This was a retrospective cohort study. The studying population Prachuap-Khiri-Khan Hospital’s patients with non-variceal UGIB from 1 November 2016 to 31 October 2018. They were divided into early endoscopy (<=24 hrs) and delayed endoscopy (>24 hrs). The information of baseline characteristics, pre-endoscopy scores (GBS), and endoscopy reports (Forrest classification) were collected, including the outcomes (mortality, rebleeding in 30 days, length of hospital staying, and blood transfusion). The data were analyzed in terms of statistics i.e. mean, percent, chi-square test, and multiple linear regression by using SPSS Version 16.
Results: There were 112 people in total, 19 of early endoscopy (17%) and 93 of delayed endoscopy (83%). It was found that the proportion of patients with liver disease was more in the early endoscopy group than the delayed endoscopy group (26.3% versus 9.7%, p= .046). The early endoscopy group received therapeutic endoscopy more than the delayed group (47.4% versus 22.6%, p= .005). Regarding mortality rates, rebleeding in 30 days, length of stay, and PRC transfusion of both groups were not significantly different in terms of statistics.
Conclusion: The comparison of GI endoscopy in non-variceal UGIB patients between the early endoscopy and the delayed endoscopy groups in terms of mortality rates, rebleeding in 30 days, length of stay, and PRC transfusion reveals no significantly statistical difference.
References
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