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

rch into identifying the reasons for the weekend effect and to institute appropriate interventions."

Acute NVUGIH accounts for a majority of upper GI bleeding, while AVH, often complicating cirrhosis and portal hypertension, forms the other large category.

In this cross-sectional study using the Nationwide Inpatient Sample 2004, a total of 28,820 discharges with AVH and 391,119 discharges with NVUGIH were identified through appropriate ICD-9-CM codes. Admissions were considered to be weekend admissions if they were admitted between midnight on Friday through midnight on Sunday.

On analysis, NVUGIH patients admitted on weekends had 22 percent higher adjusted in-hospital mortality and were 36 percent less likely to undergo early endoscopy within one day of hospitalization. There was one excess death for every 143 patients admitted on a weekend. Weekend admission was not predictive of in-hospital mortality in patients with AVH, but was associated with lower likelihood of early endoscopy in non-teaching hospitals. Early endoscopy was associated with significantly shorter hospital stays (NVUGIH: - 1.08 days, AVH: - 2.35 days) and lower hospitalization charges (NVUGIH: -$1,958, AVH - $8,870).

Weekend Patients with Peptic Ulcer-Related UGIB Have Increased Risk of Death

Patients admitted to the hospital on the weekend for peptic ulcer-related hemorrhage have higher mortality and more frequently undergo surgery. Although wait times for endoscopy are prolonged in patients hospitalized on the weekend, this delay does not appear to mediate the weekend effect for mortality, reports another new study also published in Clinical Gastroenterology and Hepatology.

"In addition to increased mortality and higher rates of surgical intervention, patients hospitalized on the weekend experienced greater hospital charges and length of stay than those admitted during weekdays," said Robert P. Myers, MD, of the University of
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Contact: Alissa Cruz
media@gastro.org
301-272-1603
American Gastroenterological Association
Source:Eurekalert

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