单位：[1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Div Gastroenterol, Wuhan, Peoples R China内科学系消化内科华中科技大学同济医学院附属同济医院[2]Wenchang Peoples Hosp, Dept Gastroenterol, Haikou, Hainan, Peoples R China
Aim: Different researches showed controversial results about the 'off-hours effect' in nonvariceal upper gastrointestinal bleeding (NVUGIB). Materials & methods: A total of 301 patients with NVUGIB were divided into regular-hours group and off-hours group based on when they received endoscopic hemostasis, and the relationship of the clinical outcomes with off-hours endoscopic hemostasis was evaluated. Results: Patients who received off-hours endoscopy were sicker and more likely to experience worse clinical outcomes. Off-hours endoscopic hemostasis was a significant predictor of the composite outcome in higher-risk patients (adjusted OR: 4.63; 95% CI: 1.35-15.90). However, it did not associate with the outcomes in lower-risk patients. Conclusion: Off-hours effect may affect outcomes of higher-risk NVUGIB patients receiving endoscopic hemostasis (GBS >= 12).
第一作者单位：[1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Div Gastroenterol, Wuhan, Peoples R China
通讯作者：
通讯机构：[1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Div Gastroenterol, Wuhan, Peoples R China[2]Wenchang Peoples Hosp, Dept Gastroenterol, Haikou, Hainan, Peoples R China
推荐引用方式(GB/T 7714)：
Guan Jia-Lun,Wang Ge,Fang Dan,et al.Does off-hours endoscopic hemostasis affect outcomes of nonvariceal upper gastrointestinal bleeding?[J].JOURNAL OF COMPARATIVE EFFECTIVENESS RESEARCH.2022,11(3):275-283.doi:10.2217/cer-2021-0155.
