지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 486 - 496 (11page)
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초록· 키워드
오류제보하기
Background/Aims: To analyze the incidence of post-endoscopic retrograde cholangiopancreatography (ERCP) sepsis in the early (Julyto September) and later (October to June) academic months to assess the “July effect”. Methods: The National Inpatient Sample (2010–2014) was used to identify ERCP-related adult hospitalizations at urban teachinghospitals by applying relevant procedure codes from the International Classification of Diseases, 9th revision, Clinical Modification. Post-ERCP outcomes were compared between the early and later academic months. A multivariate analysis was performed to evaluatethe odds of post-ERCP sepsis and its predictors. Results: Of 481,193 ERCP procedures carried out at urban teaching hospitals, 124,934 were performed during the early academicmonths. The demographics were comparable for ERCP procedures performed during the early and later academic months. A higherincidence (9.4% vs. 8.8%, p<0.001) and odds (odds ratio [OR], 1.07) of post-ERCP sepsis were observed in ERCP performed during theearly academic months. The in-hospital mortality rate (7% vs. 7.5%, p=0.072), length of stay, and total hospital charges in patients withpost-ERCP sepsis were also equivalent between the 2 time points. Pre-ERCP cholangitis (OR, 3.20) and post-ERCP complications suchas cholangitis (OR, 6.27), perforation (OR, 3.93), and hemorrhage (OR, 1.42) were significant predictors of higher post-ERCP sepsis inprocedures performed during the early academic months. Conclusions: The July effect was present in the incidence of post-ERCP sepsis, and academic programs should take into considerationthe predictors of post-ERCP sepsis to lower health-care burden.
목차
등록된 정보가 없습니다.
참고문헌 (30)
참고문헌 신청
Schulman AR / 2017 / Assessment of the July effect in post-endoscopic retrograde cholangiopancreatography pancreatitis : Nationwide Inpatient Sample / World J Gastrointest Endosc 9:296~303
Desai R / 2018 / Does"July effect"exist in colonoscopies performed at teaching hospitals / Transl Gastroenterol Hepatol 3:28
Szary NM / 2013 / Complications of endoscopic retrograde cholangiopancreatography:how to avoid and manage them / Gastroenterol Hepatol(N Y) 9:496~504
Freeman ML / 1996 / Complications of endoscopic biliary sphincterotomy / N Engl J Med 335:909~918
Classen DC / 1988 / Serious Pseudomonas infections associated with endoscopic retrograde cholangiopancreatography / Am J Med 84(3 Pt 2):590~596
Desai R / 2018 / Does"July effect"exist in colonoscopies performed at teaching hospitals / Transl Gastroenterol Hepatol 3:28
Szary NM / 2013 / Complications of endoscopic retrograde cholangiopancreatography:how to avoid and manage them / Gastroenterol Hepatol(N Y) 9:496~504
Freeman ML / 1996 / Complications of endoscopic biliary sphincterotomy / N Engl J Med 335:909~918
Classen DC / 1988 / Serious Pseudomonas infections associated with endoscopic retrograde cholangiopancreatography / Am J Med 84(3 Pt 2):590~596
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