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  1. The safety of diagnostic and therapeutic ERCP as a daycase procedure with a selective admission policy.

    Article - En anglais

    Objective 

    To assess if therapeutic endoscopic retrograde cholangiopancreatography (ERCP) as a daycase procedure with a selective admission policy is safe and cost-effective.

    Design 

    An audit of case notes of patients who attended as a daycase for either a therapeutic or diagnostic ERCP over a 20-month period.

    Setting 

    Stoke-on-Trent District General Hospital.

    Patients 

    Case notes of all patients who had an ERCP as a daycase were audited.

    Interventions 

    Therapeutic procedures performed as daycases included papillotomy, stent insertion, balloon dilatation or a combination of these procedures.

    Patients are discharged home 2 h after diagnostic or therapeutic ERCP.

    Main outcome measures 

    Thirty-day morbidity and mortality of daycase patients.

    Results 

    During the 20-month period audited, 550 ERCPs were performed, of which 240 attended initially as daycases.

    There were 97 successful daycase therapeutic ERCPs.

    Ten patients were admitted immediately after ERCP including one who subsequently died from a myocardial infarction (known severe ischaemic heart disease) ; 87 patients were discharged 2 h after ERCP ; none were admitted between 2 and 48 h after ERCP ; 4 were admitted between 48 h and 30 days after ERCP with complications.

    There were 117 successful daycase diagnostic ERCPs ; 4 patients were admitted immediately due to frailty, 4 were admitted between 2 and 48h and 1 at 28 days after ERCP with complications. (...)

    Mots-clés Pascal : Cholangiopancréatographie, Audit, Diagnostic, Processus thérapeutique, Hôpital jour, Evaluation, Coût, Homme, Critère sélection, Radiodiagnostic, Appareil digestif pathologie, Pancréas pathologie, Voie biliaire pathologie, Economie santé

    Mots-clés Pascal anglais : Cholangiopancreatography, Audit, Diagnosis, Therapeutic process, Day hospital, Evaluation, Costs, Human, Selection criterion, Radiodiagnosis, Digestive diseases, Pancreatic disease, Biliary tract disease, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0495012

    Code Inist : 002B24A04. Création : 03/02/1998.