Gastrointestinal Endoscopy
Volume 70, Issue 2 , Pages 229-235 , August 2009

Use and impact of early endoscopy in elderly patients with peptic ulcer hemorrhage: a population-based analysis

Received 7 August 2008 ,Accepted 22 October 2008.

References 

  1. HCUPnet, Healthcare Cost and Utilization Project. Agency for Healthcare Research and Quality, Rockville, MD. http://hcupnet.ahrq.gov/. Accessed May 30, 2008.
  2. Spiegel BMR, Vakil NB, Offman JJ. Endoscopy for acute nonvariceal upper gastrointestinal hemorrhage: is sooner better?. Arch Intern Med. 2001;161:1393–1404
  3. Lee JG. What is the value of early endoscopy in upper gastrointestinal bleeding?. Nat Clin Pract Gastroenterol Hepatol. 2006;3:534–535
  4. Bjorkman DJ, Zaman A, Fennerty MB, et al. Urgent vs. elective endoscopy for acute non-variceal upper-GI bleeding: an effectiveness study. Gastrointest Endosc. 2004;60:1–8
  5. Lee JG, Turnipseed S, Romano PS, et al. Endoscopy-based triage significantly reduces hospitalization rates and costs of treating upper GI bleeding: a randomized trial. Gastrointest Endosc. 1999;50:755–761
  6. Lin H-J, Wang K, Perng C-L, et al. Early or delayed endoscopy for patients with peptic ulcer bleeding: a prospective randomized study. J Clin Gastroenterol. 1996;22:267–271
  7. Targownik LE, Murthy S, Keyvani L, et al. The role of rapid endoscopy for high-risk patients with acute nonvariceal upper gastrointestinal bleeding. Can J Gastroenterol. 2007;21:425–429
  8. Schacher GM, Lesbros-Pantoflickova D, Ortner MA, et al. Is early endoscopy in the emergency room beneficial in patients with bleeding peptic ulcer? A “fortuitously controlled” study. Endoscopy. 2005;37:324–328
  9. Cooper GS, Chak A, Way LE, et al. Early endoscopy in upper gastrointestinal hemorrhage: associations with recurrent bleeding, surgery, and length of stay. Gastrointest Endosc. 1999;49:145–152
  10. Charlson ME, Pompei P, Ales KL, et al. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chron Dis. 1987;40:373–383
  11. Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol. 1992;45:613–619
  12. Klabunde CN, Potosky AL, Legler JM, et al. Development of a comorbidity index using physician claims data. J Clin Epidemiol. 2000;53:1258–1267
  13. Barkun A, Bardou M, Marshall JK. Consensus recommendations for managing patients with nonvariceal upper gastrointestinal bleeding. Ann Intern Med. 2003;139:843–857
  14. I ber FL, Livak A, Kruss DM. Apnea and cardiopulmonary arrest during and after endoscopy. J Clin Gastroenterol. 1992;14:109–113
  15. Hay JA, Maldonado L, Weingarten SR, et al. Prospective evaluation of a clinical guideline recommending hospital length of stay in upper gastrointestinal hemorrhage. JAMA. 1997;278:2151–2156
  16. da Silveira EB, Lam E, Martel M, et al. The importance of process issues as predictors of time to endoscopy in patients with acute upper-GI bleeding using the RUGBE data. Gastrointest Endosc. 2006;64:299–309
  17. Vreeburg EM, Snel P, de Bruijne JW, et al. Acute upper gastrointestinal bleeding in the Amsterdam area: incidence, diagnosis and clinical outcome. Am J Gastroenterol. 1997;92:236–243
  18. Cooper GS, Yuan Z, Rosenthal GE, et al. Lack of gender and racial differences in surgery and mortality in hospitalized Medicare beneficiaries with bleeding peptic ulcer. J Gen Intern Med. 1997;12:485–490
  19. Chang DC, Britt LD, Cornwell EE. Racial disparities in emergency surgical care. Med Clin N Am. 2005;89:945–948
  20. In:  Iezzoni LI editors. Risk Adjustment for Measuring Health Care Outcomes. Ann Arbor: Health Administration Press; 1994;p. 119–75
  21. Cooper GS, Chak A, Lloyd LE, et al. The accuracy of diagnosis and procedural codes for patients with upper gastrointestinal hemorrhage. Gastrointest Endosc. 2000;51:423–426
  22. Raiford DS, Gutthann SP, Garcia Rodriguez LA. Positive predictive value of ICD-9 codes in the identification of cases of complicated peptic ulcer disease in the Saskatchewan hospital automated database. Epidemiology. 1996;7:101–104
  23. Fisher ES, Whaley FS, Krushat WM, et al. The accuracy of Medicare's hospital claims data: progress has been made, but problems remain. Am J Public Health. 1992;82:243–248
  24. Rockall TA, Logan RFA, Devlin HB, et al. Incidence of and mortality from acute upper gastrointestinal haemorrhage in the United Kingdom. Br Med J. 1995;311:222–226
  25. Rockall TA, Logan RFA, Devlin HB, et al. Variation in outcome after acute upper gastrointestinal haemorrhage. Lancet. 1995;346:346–350
  26. Blatchford O, Murray WR, Blatchford MA. A risk score to predict need for treatment for upper-gastrointestinal haemorrhage. Lancet. 2000;356:1318–1321

 DISCLOSURE: The following author received research support for this study from a Research and Outcomes and Effectiveness Award from the American Society for Gastrointestinal Endoscopy: G. S. Cooper. All other authors disclosed no financial relationships relevant to this publication.

 Presented in part at Digestive Disease Week, San Diego, California, May 19, 2008. (Gastrointest Endosc 2008;67:AB88).

 If you want to chat with an author of this article, you may contact him at gxc12@cwru.edu.

PII: S0016-5107(08)02845-9

doi: 10.1016/j.gie.2008.10.052

Gastrointestinal Endoscopy
Volume 70, Issue 2 , Pages 229-235 , August 2009