81 197

Cited 8 times in

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

Authors
 Sun Jeong Byun  ;  Seung Up Kim  ;  Jun Yong Park  ;  Beom Kyung Kim  ;  Do Young Kim  ;  Kwang Hyub Han  ;  Chae Yoon Chon  ;  Sang Hoon Ahn 
Citation
 Yonsei Medical Journal, Vol.53(2) : 318-327, 2012 
Journal Title
 Yonsei Medical Journal 
ISSN
 0513-5796 
Issue Date
2012
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.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/92092
DOI
10.3349/ymj.2012.53.2.318
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
Yonsei Authors
김도영(Kim, Do Young)
김범경(Kim, Beom Kyung)
김승업(Kim, Seung Up)
박준용(Park, Jun Yong)
변선정(Byun, Sun Jeong)
안상훈(Ahn, Sang Hoon)
전재윤(Chon, Chae Yoon)
한광협(Han, Kwang Hyup)
사서에게 알리기
  feedback
Files in This Item:
T201201842.pdf Download
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse