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LONG-HOSP Score: A Novel Predictive Score for Length of Hospital Stay in Acute Lower Gastrointestinal Bleeding - A Multicenter Nationwide Study.
Fujita, Minoru; Aoki, Tomonori; Manabe, Noriaki; Ito, Yoichiro; Kobayashi, Katsumasa; Yamauchi, Atsushi; Yamada, Atsuo; Omori, Jun; Ikeya, Takashi; Aoyama, Taiki; Tominaga, Naoyuki; Sato, Yoshinori; Kishino, Takaaki; Ishii, Naoki; Sawada, Tsunaki; Murata, Masaki; Takao, Akinari; Mizukami, Kazuhiro; Kinjo, Ken; Fujimori, Shunji; Uotani, Takahiro; Sato, Hiroki; Suzuki, Sho; Narasaka, Toshiaki; Hayasaka, Junnosuke; Funabiki, Tomohiro; Kinjo, Yuzuru; Mizuki, Akira; Kiyotoki, Shu; Mikami, Tatsuya; Gushima, Ryosuke; Fujii, Hiroyuki; Fuyuno, Yuta; Gunji, Naohiko; Toya, Yosuke; Narimatsu, Kazuyuki; Nagaike, Koji; Kinjo, Tetsu; Sumida, Yorinobu; Funakoshi, Sadahiro; Kobayashi, Kiyonori; Matsuhashi, Tamotsu; Komaki, Yuga; Miki, Kuniko; Watanabe, Kazuhiro; Ayaki, Maki; Murao, Takahisa; Suehiro, Mitsuhiko; Shiotani, Akiko; Hata, Jiro.
Afiliación
  • Fujita M; Division of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School General Medical Center, Okayama, Japan, minorufu@med.kawasaki-m.ac.jp.
  • Aoki T; Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
  • Manabe N; Division of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School, Okayama, Japan.
  • Ito Y; Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.
  • Kobayashi K; Department of Gastroenterology, Fukuoka Shin Mizumaki Hospital, Fukuoka, Japan.
  • Yamauchi A; Department of Gastroenterology, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan.
  • Yamada A; Department of Gastroenterology and Hepatology, Kitano Hospital, Tazuke Kofukai Medical Research Institute, Osaka, Japan.
  • Omori J; Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
  • Ikeya T; Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan.
  • Aoyama T; Department of Gastroenterology, St. Luke's International University, Tokyo, Japan.
  • Tominaga N; Department of Gastroenterology, Hiroshima City Asa Citizens Hospital, Hiroshima, Japan.
  • Sato Y; Department of Gastroenterology, Saga-Ken Medical Centre Koseikan, Saga, Japan.
  • Kishino T; Division of Gastroenterology and Hepatology, Department of Internal Medicine, St Marianna University School of Medicine, Kanagawa, Japan.
  • Ishii N; Department of Gastroenterology and Hepatology, Center for Digestive and Liver Diseases, Nara City Hospital, Nara, Japan.
  • Sawada T; Department of Gastroenterology, Tokyo Shinagawa Hospital, Tokyo, Japan.
  • Murata M; Department of Endoscopy, Nagoya University Hospital, Aichi, Japan.
  • Takao A; Department of Gastroenterology, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
  • Mizukami K; Department of Gastroenterology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan.
  • Kinjo K; Department of Gastroenterology, Oita University, Oita, Japan.
  • Fujimori S; Department of Gastroenterology, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
  • Uotani T; Department of Gastroenterology, Chiba Hokusoh Hospital, Nippon Medical School, Chiba, Japan.
  • Sato H; Department of Gastroenterology, Japanese Red Cross Shizuoka Hospital, Shizuoka, Japan.
  • Suzuki S; Division of Gastroenterology, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan.
  • Narasaka T; Department of Gastroenterology and Hepatology, Center for Digestive Disease and Division of Endoscopy, University of Miyazaki Hospital, Miyazaki, Japan.
  • Hayasaka J; Department of Gastroenterology, University of Tsukuba, Ibaraki, Japan.
  • Funabiki T; Division of Endoscopic Center, University of Tsukuba Hospital, Ibaraki, Japan.
  • Kinjo Y; Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan.
  • Mizuki A; Department of Emergency Medicine, Fujita Health University Hospital, Aichi, Japan.
  • Kiyotoki S; Emergency and Critical Care Center, Saiseikai Yokohamashi Tobu Hospital, Kanagawa, Japan.
  • Mikami T; Department of Gastroenterology, Naha City Hospital, Okinawa, Japan.
  • Gushima R; Department of Internal Medicine, Tokyo Saiseikai Central Hospital, Tokyo, Japan.
  • Fujii H; Department of Gastroenterology, Shuto General Hospital, Yamaguchi, Japan.
  • Fuyuno Y; Division of Endoscopy, Hirosaki University Hospital, Aomori, Japan.
  • Gunji N; Department of Gastroenterology and Hepatology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
  • Toya Y; Department of Gastroenterology and Hepatology, National Hospital Organization Fukuokahigashi Medical Center, Fukuoka, Japan.
  • Narimatsu K; Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Nagaike K; Department of Gastroenterology, Fukushima Medical University, Fukushima, Japan.
  • Kinjo T; Division of Gastroenterology, Department of Internal Medicine, Iwate Medical University, Iwate, Japan.
  • Sumida Y; Department of Internal Medicine, National Defense Medical College, Saitama, Japan.
  • Funakoshi S; Department of Gastroenterology and Hepatology, Suita Municipal Hospital, Osaka, Japan.
  • Kobayashi K; Department of Endoscopy, University of the Ryukyus Hospital, Okinawa, Japan.
  • Matsuhashi T; Department of Gastroenterology, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
  • Komaki Y; Department of Gastroenterological Endoscopy, Fukuoka University Hospital, Fukuoka, Japan.
  • Miki K; Department of Gastroenterology, Kitasato University, School of Medicine, Kanagawa, Japan.
  • Watanabe K; Department of Gastroenterology and Neurology, Akita University Graduate School of Medicine, Akita, Japan.
  • Ayaki M; Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.
  • Murao T; Hygiene and Health Promotion Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.
  • Suehiro M; Department of Gastroenterological Endoscopy, Tokyo Medical University, Tokyo, Japan.
  • Shiotani A; Department of Gastroenterology and Hepatology, National Center for Global Health and Medicine, Tokyo, Japan.
  • Hata J; Division of Endoscopy and Ultrasonography, Department of Clinical Pathology and Laboratory Medicine, Kawasaki Medical School General Medical Center, Okayama, Japan.
Digestion ; 104(6): 446-459, 2023.
Article en En | MEDLINE | ID: mdl-37536306
INTRODUCTION: Length of stay (LOS) in hospital affects cost, patient quality of life, and hospital management; however, existing gastrointestinal bleeding models applicable at hospital admission have not focused on LOS. We aimed to construct a predictive model for LOS in acute lower gastrointestinal bleeding (ALGIB). METHODS: We retrospectively analyzed the records of 8,547 patients emergently hospitalized for ALGIB at 49 hospitals (the CODE BLUE-J Study). A predictive model for prolonged hospital stay was developed using the baseline characteristics of 7,107 patients and externally validated in 1,440 patients. Furthermore, a multivariate analysis assessed the impact of additional variables during hospitalization on LOS. RESULTS: Focusing on baseline characteristics, a predictive model for prolonged hospital stay was developed, the LONG-HOSP score, which consisted of low body mass index, laboratory data, old age, nondrinker status, nonsteroidal anti-inflammatory drug use, facility with ≥800 beds, heart rate, oral antithrombotic agent use, symptoms, systolic blood pressure, performance status, and past medical history. The score showed relatively high performance in predicting prolonged hospital stay and high hospitalization costs (area under the curve: 0.70 and 0.73 for derivation, respectively, and 0.66 and 0.71 for external validation, respectively). Next, we focused on in-hospital management. Diagnosis of colitis or colorectal cancer, rebleeding, and the need for blood transfusion, interventional radiology, and surgery prolonged LOS, regardless of the LONG-HOSP score. By contrast, early colonoscopy and endoscopic treatment shortened LOS. CONCLUSIONS: At hospital admission for ALGIB, our novel predictive model stratified patients by their risk of prolonged hospital stay. During hospitalization, early colonoscopy and endoscopic treatment shortened LOS.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Hemorragia Gastrointestinal Tipo de estudio: Clinical_trials / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Digestion Año: 2023 Tipo del documento: Article Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calidad de Vida / Hemorragia Gastrointestinal Tipo de estudio: Clinical_trials / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Digestion Año: 2023 Tipo del documento: Article Pais de publicación: Suiza