Effect of Admission Time on the Outcomes of Liver Cirrhosis with Acute Upper Gastrointestinal Bleeding: Regular Hours versus Off-Hours Admission
Joint Authors
Guo, Xiaozhong
Li, Hongyu
Li, Yingying
Han, Bing
Song, Tingxue
Bao, Wenchun
Wang, Ran
Bai, Zhaohui
Zheng, Kexin
Li, Qianqian
Qi, Xingshun
Source
Canadian Journal of Gastroenterology and Hepatology
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-14, 14 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-11-29
Country of Publication
Egypt
No. of Pages
14
Main Subjects
Abstract EN
Background and Aims.
Acute upper gastrointestinal bleeding (AUGIB) is a lethal complication of liver cirrhosis.
We aimed to compare the outcomes of patients with liver cirrhosis and AUGIB who were admitted to hospital on regular hours and off-hours.
Methods.
This retrospective study screened all cirrhotic patients with AUGIB who were admitted to our hospital from January 2010 to June 2014 for the test cohort and from December 2014 to March 2018 for the validation cohort.
A 1:1 propensity score matching analysis was performed to adjust the Child-Pugh and MELD scores.
In-hospital mortality, 5-day rebleeding rate, length of stay, and total payment were primary outcomes.
Results.
Overall, 826 and 173 patients with liver cirrhosis and AUGIB were included in the test and validation cohorts, respectively.
After propensity score matching, 226 and 40 patients were included in the test and validation cohorts, respectively.
The overall analysis of the test cohort found significantly higher Child-Pugh score (P=0.006), 5-day rebleeding rate (18.69% versus 10.72%, P=0.001), and total payment (¥25,906.83 versus ¥22,017.42, P<0.001) in patients admitted on off-hours.
By contrast, the overall analysis of the validation cohort did not find any difference in Child-Pugh score, 5-day rebleeding, in-hospital mortality, length of stay, or hospital payment between patients admitted on regular hours and off-hours.
Similarly, the propensity score matching analyses of both test and validation cohorts found no difference in these primary outcomes between the two groups.
Conclusions.
Off-hours admission might not be negatively associated with the outcomes of patients with liver cirrhosis and AUGIB.
American Psychological Association (APA)
Li, Yingying& Han, Bing& Li, Hongyu& Song, Tingxue& Bao, Wenchun& Wang, Ran…[et al.]. 2018. Effect of Admission Time on the Outcomes of Liver Cirrhosis with Acute Upper Gastrointestinal Bleeding: Regular Hours versus Off-Hours Admission. Canadian Journal of Gastroenterology and Hepatology،Vol. 2018, no. 2018, pp.1-14.
https://search.emarefa.net/detail/BIM-1130899
Modern Language Association (MLA)
Li, Yingying…[et al.]. Effect of Admission Time on the Outcomes of Liver Cirrhosis with Acute Upper Gastrointestinal Bleeding: Regular Hours versus Off-Hours Admission. Canadian Journal of Gastroenterology and Hepatology No. 2018 (2018), pp.1-14.
https://search.emarefa.net/detail/BIM-1130899
American Medical Association (AMA)
Li, Yingying& Han, Bing& Li, Hongyu& Song, Tingxue& Bao, Wenchun& Wang, Ran…[et al.]. Effect of Admission Time on the Outcomes of Liver Cirrhosis with Acute Upper Gastrointestinal Bleeding: Regular Hours versus Off-Hours Admission. Canadian Journal of Gastroenterology and Hepatology. 2018. Vol. 2018, no. 2018, pp.1-14.
https://search.emarefa.net/detail/BIM-1130899
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1130899