| Original Article |
Question: Does the incidence of unexpected hospitalization following GI endoscopy differ between hospital outpatient departments (HOPDs) and ambulatory surgery centers (ASCs)?
Design/Method: A retrospective cohort study was done based on the data from Massachusetts All-Payer Claims Database and Medicare fee-for-service claims from 2014 to 2017. Screening colonoscopy, non-screening colonoscopy, and esophagogastroduodenoscopies (EGDs) which had been performed in ASCs or HOPDs, and the rate of unplanned hospital visits within 7 and 30 days after these procedures were checked. To compare rates between ASCs and HOPDs, the procedure-specific, propensity score–matched samples were constructed and a multilevel logistic regression adjusting for patient, procedure, and facility characteristics was used
Setting: The United States
Patient/Study community: Patients of all ages underwent a colonoscopy or EGD in either ASC or HOPD
Results: Unexpected hospital stays following an outpatient GI endoscopy are rare. For each of the three procedures (screening colonoscopy, non-screening colonoscopy, and EGD), the likelihood that an ASC patient will require a post-endoscopic hospital stay is consistently lower than that of HOPDs. For some patients, performing GI endoscopies in an ASC setting is appropriate
Commentary:
| The findings of this study can help with decision-making in groups regarding where an outpatient GI endoscopy should be performed. The decision to undertake an outpatient endoscopic operation in an ASC is dependent on appropriate patient selection. However, extensive risk evaluations are essential to ensure optimal patient selection, and doctors should be aware of any potential side effects related to the operation |
Citation: Meng-Yun Lin, Girish Mishra, Jacqueline Ellison. Differences in patient outcomes after outpatient GI endoscopy across settings: a statewide matched cohort study. Gastrointestinal endoscopy. 2022; 95(6): 1088-1097
DOI: 10.1016/j.gie.2021.12.025
https://pubmed.ncbi.nlm.nih.gov/34979119/
Topics: Gastrointestinal Endoscopy, Ambulatory Surgery Centers, Hospital Outpatient Departments
