[Clinical pathway for bleeding peptic ulcers].

Abstract

We devised and evaluated a clinical pathway (CP) protocol for patients with bleeding peptic ulcers (BPU). Patients without severe comorbidities, who had been diagnosed with BPU and who had undergone endoscopic treatment, were enrolled in our study. The CP adaptation rate for BPU patients was 78.8% (89/113). The variance rate was 13.5% (12/89). The median length of admission was 10.0 +/- 4.6 days (n = 78) before and 7.4 +/- 2.9 days (n = 77) after introducing CP. Our CP for BPU was safe and resulted in shorter hospital stays and, therefore, cost reductions. In elder patients, our CP was also successful, but the variance rate was higher than in younger patients.

• Authors: Akira Mizuki, Masayuki Tatemichi, Mitsuhiro Nikaido, Naoki Hosoe, Sinsuke Funakoshi, Kazuto Fukui, Norio Maeda, Takeharu Shigematsu, Hiromi Nishiya, Tatsuhiko Hayashi, Hiroshi Nagata, Norifumi Hibi, Nobuhiro Tsukada
• Journal: Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology (Nihon Shokakibyo Gakkai Zasshi) Vol. 103 Issue 3 Pg. 283-9 (Mar 2006) ISSN: 0446-6586 [Print] Japan
• PMID: 16688958 (Publication Type: English Abstract, Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Critical Pathways
• Female
• Humans
• Length of Stay
• Male
• Middle Aged
• Peptic Ulcer Hemorrhage (economics, therapy)