Outcome of accident and emergency room triaged patients with low risk non-variceal upper gastrointestinal haemorrhage

Irish Medical Journal

Volumn 99, Issue 4, 2006, Pages

  Gleeson, Ferga ^b   Crowe, John ^a   Clarke, E ^b   MacMathuna, Padraic ^b   Lennon, J ^b  

^a MATER MISERICORDIAE UNIVERSITY HOSPITAL   (Ireland)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTICLE; CLINICAL PRACTICE; CONTROLLED STUDY; COST CONTROL; DISEASE ASSOCIATION; EMERGENCY HEALTH SERVICE; EMERGENCY SURGERY; EMERGENCY WARD; FEMALE; GASTROINTESTINAL ENDOSCOPY; GASTROINTESTINAL HEMORRHAGE; HEALTH CARE COST; HEALTH ECONOMICS; HOSPITAL DISCHARGE; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MORBIDITY; MORTALITY; PRACTICE GUIDELINE; RETROSPECTIVE STUDY; RISK ASSESSMENT; SCORING SYSTEM; STATISTICAL ANALYSIS; STATISTICAL SIGNIFICANCE; ACCIDENT; HOSPITAL ADMISSION; IRELAND; MIDDLE AGED; OUTCOME ASSESSMENT; PATHOLOGY; TEACHING HOSPITAL; UPPER GASTROINTESTINAL TRACT;

ACCIDENTS; ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; EMERGENCY SERVICE, HOSPITAL; ENDOSCOPY, GASTROINTESTINAL; FEMALE; GASTROINTESTINAL HEMORRHAGE; HOSPITALS, TEACHING; HUMANS; IRELAND; LENGTH OF STAY; MALE; MIDDLE AGED; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT ADMISSION; PRACTICE GUIDELINES; RETROSPECTIVE STUDIES; RISK ASSESSMENT; TRIAGE; UPPER GASTROINTESTINAL TRACT;

EID: 33745492738     PISSN: 03323102     EISSN: 03323102     Source Type: Journal    
DOI: None     Document Type: Article

References (22)

1. Rockall TA, Logan RFA, Devlin HB, Northfield TC. Risk assessment following acute upper gastrointestinal haemorrhage. GUT 1996; 38:316-321.
2. Rockall TA, Logan RF, Devlin HB, Northfield TC. Selection of patients for early discharge or outpatient care after acute upper gastrointestinal haemorrhage. National Audit of acute Upper Gastrointestinal Haemorrhage. Lancet 1996; 347:9009:1138-40.
3. Vreeburg EM, Terwee CB, Snel P, Rauws EA, Bartelsman JF, Meulen JH, Tytgat GN. Validation of the Rockall risk scoring system in upper gastrointestinal bleeding. GUT 1999;44;331-5.
4. Ch'ng CL, Kingham JGC. Scoring systems and risk assessment for upper gastrointestinal bleeding. Eur J Gastroenterol Hepatol 2001; 13:1127-1139.
5. Church NI, Palmer KR. Relevance of the Rockall Score in patients undergoing endoscopic therapy for peptic ulcer haemorrhage. Eur J Gastroenterol Hepatol 2001:13:1149-152.
6. Longstreth GF, Feitelberg SP. Outpatient care of selected patients with acute non-variceal upper gastrointestinal haemorrhage. Lancet 1995; 345:108-11.
7. British Society of Gastroenterology Endoscopy Committee. Non- variceal upper gastrointestinal haemorrhage: guidelines. GUT 2002; 51(supplement).
8. Longstreth GF, Feitelberg SP. Successful outpatient management of acute upper gastrointestinal haemorrhage; use of practice guidelines in a large patient series. Gastrointest Endosc 1998; 47:311-13.
9. Cipolletta L, Bianco MA, Rotondano G, Marmo R, Piscopo R. Outpatient management for low risk non variceal upper GI bleeding: a randomised controlled trial. Gastrointest Endosc 2002 ; 55:131-4.
10. Lai KC, Hui WM, Wong BC, Ching CK, Lam SK. A retrospective and prospective study on the safety of discharging selected patients with duodenal ulcer bleeding on same day as endoscopy. Gastrointest Endosc 1997; 45:26-30.
11. Lee JG, Turnipseed S, Romano PS, Vigil H, Azari R, Melnikoff N, Hsu R, Kirk D, Sokolove P, Leung JW. Endoscopy-based triage significantly reduces hospitalisation rates and costs of treating upper GI bleeding; a randomised controlled trial. Gastrointest Endosc 1999 ; 50:755-61.
12. Rockall TA, Logan RFA, Devkin HB. Variation in outcome after acute upper gastrointestinal haemorrhage. Lancet 1995; 346:346-50.
13. Peterson WL, Barnett CC, Smith HJ, et al. Routine early endoscopy in upper gastrointestinal bleeding: a randomised control trial. N Eng J Med 1981; 304:925-9.
14. Rockall TA, Logan RFA, Devlin, et al. Steering committee of the National Audit of Acute Upper Gastrointestinal Haemorrhage. Risk assessment after acute upper gastrointestinal haemorrhage. Gut 1996; 38:316-21.
15. Sandel MH, Kolkman JJ, Kuipers EJ, Cuesta MA, Meuwissen SG. Nonvariceal upper gastrointestinal bleeding: differences in outcome for patients admitted tointernal medicine and gastroenterological services. Am J Gastroenterol 2000; 95:2357-62.
16. Hay JA, Lyubashevsky E, Elashoff J. Upper gastrointestinal haemorrhage clinical guideline-determining the optimal hospital length of stay. Am J. Med 1996; 100:313-22.
17. Rockall TA, Logan RFA, Devlin HB, Northfield TC. Influencing the practice and outcome in acute upper gastrointestinal haemorrhage. GUT 1997; 41:606-611.
18. Targownick LE, Gralnek IM, Dulai GS, Spiegel BM, Bernstein CN Management of acute nonvariceal upper gastrointestinal hemorrhage comparison of an American and a Canadian medical centre.Can J Gastroenterol. 2003: 17:489-95.
19. Podila PV, Ben-Menachem T, Batra SK, Oruganti N, Posa P, Fogel R. Managing patients with acute, non variceal gastrointestinal haemorrhage: development and effectiveness of a clinical care pathway. Am J Gastroenterol. 2001; 96:208-19.
20. Hay JA, Maldonado L, Welngarten SR, Ellrodt AG. Prospective evaluation of a clinical guideline recommending hospital length of stay in upper gastrointestinal tract haemorrhage. JAMA 1997; 278:2151-6.
21. Hay JA, Lyubashevsky E, Elashoff J, Maldonado L, Weingarten SR, Ellrodt AG. Upper gastrointestinal haemorrhage clinical guideline determining the optimum hospital length of stay..Am J Med. 1996; 100:313-22.
22. Grainek IM. Outpatient management of 'low risk' non-variceal upper gastrointestinal GI haemorrhage. Are we ready to put evidence into practice? Gastrointest Endosc 2002; 55