Mo1168 Urgent Endoscopy Within 12 Hours of Admission Is Associated With Decreased ICU Length of Stay and Overall Length of Stay

Abstract

Background/Aim: Our study assessed five scoring systems (APACHE II, Charlson comorbidity index, AIMS65, Rockall score, and Glasgow-Blatchford score) for predicting intensive care unit (ICU) length of stay (LOS) and overall LOS in patients admitted to ICU for gastrointestinal bleeding (GIB) at a community teaching hospital.Methods:We prospectively studied all cases of GIB in patients admitted to the ICU from December 2013 to October 2014. Patients were included if they were 18 years of age or older, admitted directly to an ICU from the emergency department, had a hemoglobin (Hb) value of less than 10 g/dL or had a decrease in baseline Hb of at least 2 g/dL within the first 6 hours of admission. Pregnant women and patients with bleeding disorders were excluded. Patient demographics, clinical presentation, laboratory data, and endoscopic findings were recorded to calculate the scoring systems. ICU LOS and overall LOS were also recorded. SPSS 7.0 was used to calculate a Pearson correlation (r) for each independent scoring system and LOS. Results: 64 patients (60% male and 40% female) were included in the study. The mean age was 66 years (range 20-95). Mean ICU LOS was 4 days, whereas the mean overall LOS was 8 days. APACHE II (r=+0.345, p=0.005), AIMS65 (r=+0.412, p=0.001), Charlson comorbidity index (r=+0.497, p= 0.0001), Rockall (r=+0.402, p=0.001) and Glasgow-Blatchford (r=+0.301, p= 0.014) scores had statistically significant positive correlations to overall LOS. ICU LOS was significantly correlated with only APACHE II (r=+0.260, p=0.035) and Charlson comorbidity index (r=+0.309, p=0.011). Conclusion: APACHE II, Charlson comorbidity index, AIMS65, Rockall and Glasgow-Blatchford scores are positively correlated with overall LOS in patients admitted to ICU for GIB. However, only APACHE II and Charlson comorbidity index were significantly associated with ICU LOS.