Inpatient Endoscopy Procedure Planning Delays and Impact on Length of Stay and 30-day Readmission
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Inpatient gastrointestinal endoscopy.
- Who it may be relevant to
- Registry conditions: Inpatient Endoscopy Delay, Readmission, Prolonged Hospital Stay. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Netherlands
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
Single center retrospective cohort study of all inpatient endoscopy procedures to asses factors associated with inpatient endoscopy delays and impact on length of stay and 30-day readmission
Detailed description
Background: Delays in inpatient endoscopy planning negatively influence the quality and accessibility of care. This may result in higher healthcare costs, negative health outcomes, and unnecessary readmissions and use of hospital beds. Additionally, prolonged hospital stay is associated with poorer health outcomes and risk of nosocomial infections, amongst others.
Objective: To asses factors associated with inpatient endoscopy delays and impact on length of stay and 30-day readmission
Study design: Single center retrospective cohort study of all inpatient endoscopy procedures (gastroscopy, colonoscopy, ERCP, sigmoidoscopy) during 2016-2022. Data will be identified and extracted using CTCue. Only pseudonymized data will be used. Inpatient endoscopy delay will be defined as the number of days between the planned date versus the actual date. Multivariable logistic regression models will be performed to assess factors associated with inpatient endoscopy delay.
Interventions
- Procedure Inpatient gastrointestinal endoscopy
all inpatient endoscopy procedures (gastroscopy, colonoscopy, ERCP, sigmoidoscopy) during 2016-2022.
Primary outcome measures
- Rate of inpatient endoscopy delays (IED) [Time frame: at endoscopic procedure]
- Difference in type of endoscopic procedure between patients with and without IED [Time frame: at endoscopic procedure]
- Difference in type of sedation between patients with and without IED [Time frame: at endoscopic procedure]
Secondary outcome measures (4)
- Median length of hospital stay [Time frame: through study cohort period from 1 january 2016 until 31 december 2022]
- rate of 30-day readmissions [Time frame: up to 30 days]
- Odds ratio of presence of inpatient endoscopy delays for risk of prolonged length of hospital stay and 30-day readmissions [Time frame: from admission till 30 days after discharge]
- Odds ratio of presence of inpatient endoscopy delays for risk of 30-day readmissions [Time frame: from admission till 30 days after discharge]
Eligibility criteria
Inclusion criteria
- Adult patients (>18 years)
- Clinical admission in any hospital department of at least two days during 1 January 2016 and 1 December 2022
- Endoscopic procedure during clinical admission, including gastroscopy, endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound (EUS), flexible sigmoidoscopy, colonoscopy
Exclusion criteria
- Elective admission
- Procedure only for insertion of nasogastric or nasojejunal (feeding) tube without any other diagnostic or therapeutic aims
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
Netherlands · 1 center
- Radboud university medical center — Nijmegen
Identifiers
NCT: NCT05798065 · 2023-16151