Acute variceal hemorrhage in patients with liver cirrhosis: Weekend versus weekday admissions

Sun Jeong Byun, Seung Up Kim, Jun Yong Park, Beom Kyung Kim, Do Young Kim, Kwang Hyub Han, Chae Yoon Chon, Sang Hoon Ahn

Research output: Contribution to journalReview article

10 Citations (Scopus)

Abstract

Purpose: Little is known about the impact of weekend admission on acute variceal hemorrhage (AVH). Thus, we investigated whether day of admission due to AVH influenced in-hospital mortality. Materials and Methods: We retrospectively reviewed the medical records of 294 patients with cirrhosis admitted between January 2005 and February 2009 for the management of AVH. Clinical characteristics were compared between patients with weekend and weekday admission, and independent risk factors for in-hospital mortality were determined by multivariate binary logistic regression analysis. Results: No demographic differences were observed between patients according to admission day or in the clinical course during hospitalization. Seventeen (23.0%) of 74 patients with weekend admission and 48 (21.8%) of 220 with weekday admission died during hospitalization (p=0.872). Univariate and subsequent multivariate analysis showed that initial presentation with hematochezia [p=0.042; hazard ratio (HR), 2.605; 95% confidence interval (CI), 1.038-6.541], in-patient status at the time of bleeding (p=0.003; HR, 4.084; 95% CI, 1.598-10.435), Child-Pugh score (p<0.001; HR, 1.877; 95% CI, 1.516-2.324), and number of endoscopy sessions for complete hemostasis (p=0.001; HR, 3.864; 95% CI, 1.802-8.288) were independent predictors for in-hospital mortality. Conclusion: Weekend admission did not influence in-hospital mortality in patients with cirrhosis who presented AVH.

Original languageEnglish
Pages (from-to)318-327
Number of pages10
JournalYonsei medical journal
Volume53
Issue number2
DOIs
Publication statusPublished - 2012 Mar 1

Fingerprint

Liver Cirrhosis
Hemorrhage
Hospital Mortality
Confidence Intervals
Hospitalization
Fibrosis
Bleeding Time
Gastrointestinal Hemorrhage
Hemostasis
Endoscopy
Medical Records
Multivariate Analysis
Logistic Models
Regression Analysis
Demography

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

@article{ab41c00d1c5a4694aa011322d15c0d56,
title = "Acute variceal hemorrhage in patients with liver cirrhosis: Weekend versus weekday admissions",
abstract = "Purpose: Little is known about the impact of weekend admission on acute variceal hemorrhage (AVH). Thus, we investigated whether day of admission due to AVH influenced in-hospital mortality. Materials and Methods: We retrospectively reviewed the medical records of 294 patients with cirrhosis admitted between January 2005 and February 2009 for the management of AVH. Clinical characteristics were compared between patients with weekend and weekday admission, and independent risk factors for in-hospital mortality were determined by multivariate binary logistic regression analysis. Results: No demographic differences were observed between patients according to admission day or in the clinical course during hospitalization. Seventeen (23.0{\%}) of 74 patients with weekend admission and 48 (21.8{\%}) of 220 with weekday admission died during hospitalization (p=0.872). Univariate and subsequent multivariate analysis showed that initial presentation with hematochezia [p=0.042; hazard ratio (HR), 2.605; 95{\%} confidence interval (CI), 1.038-6.541], in-patient status at the time of bleeding (p=0.003; HR, 4.084; 95{\%} CI, 1.598-10.435), Child-Pugh score (p<0.001; HR, 1.877; 95{\%} CI, 1.516-2.324), and number of endoscopy sessions for complete hemostasis (p=0.001; HR, 3.864; 95{\%} CI, 1.802-8.288) were independent predictors for in-hospital mortality. Conclusion: Weekend admission did not influence in-hospital mortality in patients with cirrhosis who presented AVH.",
author = "Byun, {Sun Jeong} and Kim, {Seung Up} and Park, {Jun Yong} and Kim, {Beom Kyung} and Kim, {Do Young} and Han, {Kwang Hyub} and Chon, {Chae Yoon} and Ahn, {Sang Hoon}",
year = "2012",
month = "3",
day = "1",
doi = "10.3349/ymj.2012.53.2.318",
language = "English",
volume = "53",
pages = "318--327",
journal = "Yonsei Medical Journal",
issn = "0513-5796",
publisher = "Yonsei University College of Medicine",
number = "2",

}

Acute variceal hemorrhage in patients with liver cirrhosis : Weekend versus weekday admissions. / Byun, Sun Jeong; Kim, Seung Up; Park, Jun Yong; Kim, Beom Kyung; Kim, Do Young; Han, Kwang Hyub; Chon, Chae Yoon; Ahn, Sang Hoon.

In: Yonsei medical journal, Vol. 53, No. 2, 01.03.2012, p. 318-327.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Acute variceal hemorrhage in patients with liver cirrhosis

T2 - Weekend versus weekday admissions

AU - Byun, Sun Jeong

AU - Kim, Seung Up

AU - Park, Jun Yong

AU - Kim, Beom Kyung

AU - Kim, Do Young

AU - Han, Kwang Hyub

AU - Chon, Chae Yoon

AU - Ahn, Sang Hoon

PY - 2012/3/1

Y1 - 2012/3/1

N2 - Purpose: Little is known about the impact of weekend admission on acute variceal hemorrhage (AVH). Thus, we investigated whether day of admission due to AVH influenced in-hospital mortality. Materials and Methods: We retrospectively reviewed the medical records of 294 patients with cirrhosis admitted between January 2005 and February 2009 for the management of AVH. Clinical characteristics were compared between patients with weekend and weekday admission, and independent risk factors for in-hospital mortality were determined by multivariate binary logistic regression analysis. Results: No demographic differences were observed between patients according to admission day or in the clinical course during hospitalization. Seventeen (23.0%) of 74 patients with weekend admission and 48 (21.8%) of 220 with weekday admission died during hospitalization (p=0.872). Univariate and subsequent multivariate analysis showed that initial presentation with hematochezia [p=0.042; hazard ratio (HR), 2.605; 95% confidence interval (CI), 1.038-6.541], in-patient status at the time of bleeding (p=0.003; HR, 4.084; 95% CI, 1.598-10.435), Child-Pugh score (p<0.001; HR, 1.877; 95% CI, 1.516-2.324), and number of endoscopy sessions for complete hemostasis (p=0.001; HR, 3.864; 95% CI, 1.802-8.288) were independent predictors for in-hospital mortality. Conclusion: Weekend admission did not influence in-hospital mortality in patients with cirrhosis who presented AVH.

AB - Purpose: Little is known about the impact of weekend admission on acute variceal hemorrhage (AVH). Thus, we investigated whether day of admission due to AVH influenced in-hospital mortality. Materials and Methods: We retrospectively reviewed the medical records of 294 patients with cirrhosis admitted between January 2005 and February 2009 for the management of AVH. Clinical characteristics were compared between patients with weekend and weekday admission, and independent risk factors for in-hospital mortality were determined by multivariate binary logistic regression analysis. Results: No demographic differences were observed between patients according to admission day or in the clinical course during hospitalization. Seventeen (23.0%) of 74 patients with weekend admission and 48 (21.8%) of 220 with weekday admission died during hospitalization (p=0.872). Univariate and subsequent multivariate analysis showed that initial presentation with hematochezia [p=0.042; hazard ratio (HR), 2.605; 95% confidence interval (CI), 1.038-6.541], in-patient status at the time of bleeding (p=0.003; HR, 4.084; 95% CI, 1.598-10.435), Child-Pugh score (p<0.001; HR, 1.877; 95% CI, 1.516-2.324), and number of endoscopy sessions for complete hemostasis (p=0.001; HR, 3.864; 95% CI, 1.802-8.288) were independent predictors for in-hospital mortality. Conclusion: Weekend admission did not influence in-hospital mortality in patients with cirrhosis who presented AVH.

UR - http://www.scopus.com/inward/record.url?scp=84863165778&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84863165778&partnerID=8YFLogxK

U2 - 10.3349/ymj.2012.53.2.318

DO - 10.3349/ymj.2012.53.2.318

M3 - Review article

C2 - 22318819

AN - SCOPUS:84863165778

VL - 53

SP - 318

EP - 327

JO - Yonsei Medical Journal

JF - Yonsei Medical Journal

SN - 0513-5796

IS - 2

ER -