Inpatient Endoscopy Procedure Planning Delays and Impact on Length of Stay and 30-day Readmission

Readmission Clinical Trial

— Impatience  

Official title:

Inpatient Endoscopy Procedure Planning Delays and Impact on Length of Stay and 30-day Readmission

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05798065
• Other study ID #: 2023-16151
• Status: Not yet recruiting
• Start date: April 1, 2023
• Est. completion date: June 30, 2023

Study information

• Verified date: January 2023
• Source: Radboud University Medical Center
• Contact: Milou van Riswijk, MD, Msc
• Phone: +31615280185
• Email: milou.vanriswijk[@]radboudumc.nl
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

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

Description:

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.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 3700
• Est. completion date: June 30, 2023
• Est. primary completion date: June 30, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Adult patients (>18 years)

• Clinical admission in any hospital department of at least two days during 1 January 2016 and 1 December 2022

• Endoscopic procedure during clinical admission, including gastroscopy, endoscopic retrograde cholangiopancreatography (ERCP), endoscopic ultrasound (EUS), flexible sigmoidoscopy, colonoscopy

Exclusion Criteria:

• Elective admission

• Procedure only for insertion of nasogastric or nasojejunal (feeding) tube without any other diagnostic or therapeutic aims

Related Conditions & MeSH terms

• Readmission

Intervention

Procedure:
• Inpatient gastrointestinal endoscopy
all inpatient endoscopy procedures (gastroscopy, colonoscopy, ERCP, sigmoidoscopy) during 2016-2022.

Locations

Country	Name	City	State
Netherlands	Radboud university medical center	Nijmegen	Gelderland

Sponsors (1)

Lead Sponsor	Collaborator
Radboud University Medical Center

Country where clinical trial is conducted

Netherlands, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Rate of inpatient endoscopy delays (IED)	IED will be defined as the number of days between the planned date versus the actual date.	at endoscopic procedure
Primary	Difference in type of endoscopic procedure between patients with and without IED	Type of endoscopic procedure: gastroscopy/colonoscopy/endoscopic retrograde cholangio-pancreaticography (ERCP)	at endoscopic procedure
Primary	Difference in type of sedation between patients with and without IED	Type of sedation during endoscopic procedure: No sedation/conscious sedation/general anesthesia	at endoscopic procedure
Secondary	Median length of hospital stay	length of hospital admission in days	through study cohort period from 1 january 2016 until 31 december 2022
Secondary	rate of 30-day readmissions	percentage of readmissions within 30 days after initial discharge	up to 30 days
Secondary	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	from admission till 30 days after discharge
Secondary	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	from admission till 30 days after discharge