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.
Study Type
OBSERVATIONAL
Enrollment
3,700
all inpatient endoscopy procedures (gastroscopy, colonoscopy, ERCP, sigmoidoscopy) during 2016-2022.
Radboud university medical center
Nijmegen, Gelderland, Netherlands
Rate of inpatient endoscopy delays (IED)
IED will be defined as the number of days between the planned date versus the actual date.
Time frame: 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)
Time frame: 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
Time frame: at endoscopic procedure
Median length of hospital stay
length of hospital admission in days
Time frame: 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
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
multivariable logistic regression modelling to assess factors associated with both outcomes and the impact of inpatient endoscopy delay
Time frame: 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
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Time frame: from admission till 30 days after discharge