Abstract:
Objective:The objective of this article is to evaluate the relationship between off-hours hospital admission (weekends, public holidays or nighttime) and mortality for upper gastrointestinal hemorrhage (UGIH). Methods:Medline, Embase, Scopus, and the Chinese Biomedical Literature were searched through December 2016 to identify eligible records for inclusion in this meta-analysis. A random-effects model was applied. Results:Twenty cohort studies were included for analysis. Patients with UGIH who were admitted during off-hours had a significantly higher mortality and were less likely to receive endoscopy within 24 hours of admission. In comparison to variceal cases, patients with nonvariceal bleeding showed a higher mortality when admitted during off-hours. However, for studies conducted in hospitals that provided endoscopy outside normal hours, off-hours admission was not associated with an increased risk of mortality. Conclusion:Our study showed a higher mortality for patients with nonvariceal UGIH who were admitted during off-hours, while this effect might be offset in hospitals with a formal out-of-hours endoscopy on-call rotation.
journal_name
United European Gastroenterol Jjournal_title
United European gastroenterology journalauthors
Xia XF,Chiu PWY,Tsoi KKF,Chan FKL,Sung JJY,Lau JYWdoi
10.1177/2050640617732651subject
Has Abstractpub_date
2018-04-01 00:00:00pages
367-381issue
3eissn
2050-6406issn
2050-6414pii
10.1177_2050640617732651journal_volume
6pub_type
杂志文章abstract:BACKGROUND:Prevalence estimates for celiac disease (CD) depend on the method used. The role of deamidated gliadin peptide (DGP) and genetic testing in epidemiological studies and diagnostic settings of celiac disease (CD) has still to be established. OBJECTIVES:The objective of this article is to assess the prevalence...
journal_title:United European gastroenterology journal
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journal_title:United European gastroenterology journal
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更新日期:2018-06-01 00:00:00
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journal_title:United European gastroenterology journal
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abstract:Introduction:Fecal microbiota transfer (FMT) is highly effective in the treatment and prevention of recurrent Clostridioides difficile infection (rCDI) with cure rates of about 80% after a single treatment. Nevertheless, the reasons for failure in the remaining 20% remain largely elusive. The aim of the present study w...
journal_title:United European gastroenterology journal
pub_type: 杂志文章,多中心研究
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journal_title:United European gastroenterology journal
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更新日期:2018-07-01 00:00:00
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更新日期:2019-07-01 00:00:00
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journal_title:United European gastroenterology journal
pub_type: 杂志文章,评审
doi:10.1177/2050640616635957
更新日期:2016-08-01 00:00:00
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