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Patients with GI bleeding admitted on the weekend have higher death rate
Date:2/28/2009

Bethesda, MD (March 1, 2009) Previous studies have raised questions regarding differences in quality of care for patients hospitalized on a weekend compared to weekdays. In fact, a growing body of health services research has demonstrated an association between admission to hospitals on the weekend and increased mortality. This "weekend effect" has been attributed to reduced hospital staffing and access to specific intensive treatments and procedures.

Two recent studies published in Clinical Gastroenterology and Hepatology further our understanding of this weekend effect. Clinical Gastroenterology and Hepatology is the official journal of the American Gastroenterological Association (AGA) Institute.

Higher Mortality Reported among Upper GI Bleeding Patients Admitted on the Weekends

Patients with non-variceal upper gastrointestinal hemorrhage (NVUGIH) admitted on the weekend had higher mortality and lower rates of early endoscopy, reports a new study in Clinical Gastroenterology and Hepatology. In addition, patients with acute variceal hemorrhage (AVH) admitted to non-teaching hospitals also had lower utilization of early endoscopy but no difference in survival (hospitals were considered to be teaching hospitals if they had an AMA-approved residency program, were a member of the Council of Teaching Hospitals or had a full time equivalent interns and residents-to-patients ratio of 0.25 or higher).

"Although previous studies have demonstrated differences in outcomes between weekend and weekday admissions, there has been limited analysis focusing on patients with GI bleeding, a common medical emergency that carries significant disease and death," said Ashwin N. Ananthakrishnan, MD, MPH, of the Medical College of Wisconsin and lead author of the study. "The most important finding of our study is the higher mortality among NVUGIH patients admitted on weekends. This finding underscores the need for resea
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Contact: Alissa Cruz
media@gastro.org
301-272-1603
American Gastroenterological Association
Source:Eurekalert

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