Success and Shortcomings of a Clinical Care Pathway in the Management of Acute Nonvariceal Upper Gastrointestinal Bleeding

American Journal of Gastroenterology

Volumn 99, Issue 3, 2004, Pages 425-431

  Pfau, Patrick R ^a   Cooper, Gregory S ^a   Carlson, Mark D ^a   Chak, Amitabh ^a   Sivak Jr , Michael V ^a   Gonet, Judith A ^a   Boyd, Karen K ^a   Wong, Richard C K ^a,b  

^a CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY HOSPITALS OF CLEVELAND   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HISTAMINE H2 RECEPTOR ANTAGONIST;

ACUTE NONVARICEAL UPPER GASTROINTESTINAL BLEEDING; ADULT; AGED; ARTICLE; CLINICAL PRACTICE; COST BENEFIT ANALYSIS; COST EFFECTIVENESS ANALYSIS; ENDOSCOPY; FEMALE; HEALTH CARE COST; HEALTH CARE QUALITY; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORBIDITY; PRACTICE GUIDELINE; PRIORITY JOURNAL; RADIOLOGICAL PROCEDURES; UPPER GASTROINTESTINAL BLEEDING;

ACUTE DISEASE; AGED; COST-BENEFIT ANALYSIS; CRITICAL PATHWAYS; FEMALE; GASTROINTESTINAL HEMORRHAGE; HUMANS; MALE; QUALITY OF HEALTH CARE; REMISSION INDUCTION;

EID: 1942536523     PISSN: 00029270     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1572-0241.2004.04090.x     Document Type: Article

References (23)

1. National Center for Health Statistics. Vital and Health statistics. Detailed diagnosis and procedures, National Hospital Discharge Survey, 1991.
2. Gilbert DA. Epidemiology of upper gastrointestinal bleeding. Gastrointest Endosc 1990;36(suppl):8-13.
3. Cooper GS, Chak A, Way LE, et al. Endoscopic practice for upper gastrointestinal hemorrhage: Differences between major teaching and community-based hospitals. Gastrointest Endosc 1998;48:348-53.
4. Podila PV, Ben-Menachem T, Batra SK, et al. Managing patients with acute nonvariceal gastrointestinal hemorrhage: Development and effectiveness of a clinical care pathway. Am J Gastroenterol 2001;96;208-17.
5. Cooper GS, Armitage KB, Ashar B, et al. Design and implementation of an inpatient disease management program. Am J Man Care 2000;6:793-801.
6. Worrall G, Chaulk P, Freake D. The effects of clinical practice guidelines on patient outcomes in primary care: A systematic review. Can Med Assoc J 1997;156:1705-12.
7. Grimshaw JM, Russell IT. Effect of clinical guidelines on medical practice: A systematic review of rigorous evaluations. Lancet 1993;342:1317-22.
8. Hay JA, Maldonado L, Weingarten SR, et al. Prospective evaluation of a clinical guideline recommending hospital length of stay in upper gastrointestinal tract hemorrhage. JAMA 1997;278:2151-6.
9. Edwards N, Honemann D, Burley D, et al. Refinement of Medicare diagnosis-related groups to incorporate a measure of severity. Health Care Financ Rev 1994;16:45-64.
10. International Classification of Diseases, Ninth Revision, Clinical Modification. Washington, DC: Public Health Service, US Department of Health and Human Services, 1988.
11. Costantini O, Huck K, Carlson MD, et al. Impact of a guideline-based disease management team on outcomes of hospitalized patients with congestive heart failure. Arch Intern Med 2001;161:177-82.
12. Pearson SD, Kleefield SF, Soukop JR, et al. Critical pathways intervention to reduce length of hospital stay. Am J Med 2001;110:175-80.
13. Pearson SD, Goulart-Fisher D, Lee TH. Critical pathways as a strategy for improving care: Problems and potential. Ann Intern Med 1995;123:941-8.
14. Institute of Medicine. Guidelines for clinical practice: From development to use. Washington, DC: National Academic Press, 1992.
15. Longstreth GF. Acute upper gastrointestinal hemorrhage: Clinical practice guidelines that reduce costs. Clin Pers Gastroentrol 1999:68-72.
16. Rockall TA, Logan RFA, Devlin HB, et al. Influencing the practice and outcome in acute upper gastrointestinal haemorrhage. Gut 1997;41:606-11.
17. Anwar RM, Dhanji A, Fish A, et al. Impact of protocol-based guidelines on the management and outcome of acute upper gastrointestinal hemorrhage in a district hospital. Can J Gastroentrol 2003;17:97-100.
18. Tobin K, Klein J, Barbieri C, et al. Utility of routine admission chest radiographs in patients with acute gastrointestinal hemorrhage admitted to an intensive care unit. Am J Med 1996;101:349-56.
19. Hubbell FA, Greenfield S, Tyler JL, et al. The impact of routine admission chest X-ray films on patient care. N Engl J Med 1985;312:209-13.
20. Lee JG, Turnispeed S, Romano PS, et al. Endoscopy-based triage significantly reduces hospitalization rates and costs of treating upper GI bleeding: A randomized controlled trial. Gastrointest Endosc 1999;50:755-61.
21. Richter JM, Wang TC, Fawaz K, et al. Practice patterns and costs of hospitalization for upper gastrointestinal hemorrhage. J Clin Gastroenterol 1991;13:268-73.
22. Bjorkman DJ, Zaman A, Fennerty MB, et al. Preliminary results of a multicenter randomized trial of urgent vs. elective endoscopy in acute non-variceal upper GI bleeding [abstract] Gastrointest Endosc 2000;51:AB129.
23. Bjorkman DJ. Endoscopic triage for nonvariceal upper gastrointestinal bleeding: The optimal approach in 2001? Clinical Update 2001;9:1-6. Available at 〈http://www.asge. org/gui/clinical-info/updates/cu_triage_ug_bleed.asp〉.