Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
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
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.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Inpatient gastrointestinal endoscopy | Procedure | all inpatient endoscopy procedures (gastroscopy, colonoscopy, ERCP, sigmoidoscopy) during 2016-2022. |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of inpatient endoscopy delays (IED) | IED will be defined as the number of days between the planned date versus the actual date. | at endoscopic procedure |
| Difference in type of endoscopic procedure between patients with and without IED | Type of endoscopic procedure: gastroscopy/colonoscopy/endoscopic retrograde cholangio-pancreaticography (ERCP) | at endoscopic procedure |
| Difference in type of sedation between patients with and without IED | Type of sedation during endoscopic procedure: No sedation/conscious sedation/general anesthesia | at endoscopic procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Median length of hospital stay | length of hospital admission in days | through study cohort period from 1 january 2016 until 31 december 2022 |
| rate of 30-day readmissions | percentage of readmissions within 30 days after initial discharge |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Adult inpatients from all hospital departments undergoing endoscopy procedures. Patients will be selected via CTCue, with an admission based query that selects all adult patients with an admission of at least two days between 1-1-2014 and 1-12-2022 AND an endoscopic care activity.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Milou van Riswijk, MD, Msc | Contact | +31615280185 | milou.vanriswijk@radboudumc.nl |
| Name | Affiliation | Role |
|---|---|---|
| Peter Siersema, MD, PhD | Radboud University Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Radboud university medical center | Nijmegen | Gelderland | 6525GA | Netherlands |
IPD will be shared upon reasonable request
15 years after publication date
supporting information will be shared upon reasonable request
Not provided
Not provided
Not provided
Not provided
Not provided
| up to 30 days |
| Odds ratio of presence of inpatient endoscopy delays for risk of prolonged length of hospital stay and 30-day readmissions | multivariable logistic regression modelling to assess factors associated with both outcomes and the impact of inpatient endoscopy delay | from admission till 30 days after discharge |
| Odds ratio of presence of inpatient endoscopy delays for risk of 30-day readmissions | multivariable logistic regression modelling to assess factors associated with both outcomes and the impact of inpatient endoscopy delay | from admission till 30 days after discharge |