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Routine early endoscopy in upper-gastrointestinal-tract bleeding: a randomized, controlled trial.

Author: AllenM H, BarnettC C, CorbettD B, PetersonW L, SmithH J

Clinical TrialA clinical trial is a planned study conducted on humans to evaluate the efficacy and safety of pharmaceuticals, medical devices, and treatment methods. It aims to explore the possibilities of new treatments and improve the health of patients.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.
Research Support, U.S. Gov't, Non-P.H.S.Research funding provided by US government agencies other than the Public Health Service.
Research Support, U.S. Gov't, P.H.S.Research funding provided by the Public Health Service (PHS).

Overview

Routine early endoscopy for patients with upper gastrointestinal bleeding that stops during hospitalization did not improve outcomes. There were no significant differences in death rates, recurrence of bleeding, number of blood transfusions, deaths after recurrent bleeding, or length of hospital stay between patients who received routine endoscopy and those who did not. There were also no significant differences in readmission rates, further bleeding, hemorrhage-related deaths, or the need for gastrointestinal surgery during the year after discharge.
Paper Details　
Original Abstract of the Article :
To determine whether routine early endoscopy is beneficial to patients with upper-gastrointestinal-tract bleeding that ceases during hospitalization, we randomly assigned 206 patients to routine endoscopy (100 patients) or no routine endoscopy (106). Patients in the latter group underwent endoscopy ...See full text at original site
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引用元：
https://doi.org/10.1056/NEJM198104163041601

データ提供：米国国立医学図書館（NLM）

Early Endoscopy for Upper Gastrointestinal Bleeding: A Desert of Uncertainty

Upper gastrointestinal bleeding, a serious condition that can lead to significant blood loss, is like a desert sandstorm, threatening the body's vital resources. This study investigates the benefits of routine early endoscopy for patients with upper gastrointestinal bleeding that ceases during hospitalization. It's like exploring a desert of uncertainty, seeking the most effective approach to manage this critical condition.

The study found no significant difference in outcomes between patients who underwent routine early endoscopy and those who did not. It's like navigating a desert with two different paths, both leading to the same destination. This study suggests that early endoscopy is not routinely necessary for patients with upper gastrointestinal bleeding that has already stopped.

A Desert of Evidence

The study provides valuable evidence that challenges the routine use of early endoscopy for upper gastrointestinal bleeding that has already stopped. It's like discovering that a well-traveled path through the desert may not always be the most efficient or effective route.

Clinical Decision-Making

This study highlights the importance of making evidence-based clinical decisions, tailoring treatment approaches to the individual needs of each patient. It's like navigating the desert with a compass, relying on reliable information to guide our choices and ensure a safe and successful journey.

Dr.Camel's Conclusion

This study encourages healthcare professionals to critically evaluate the evidence and make informed clinical decisions based on the individual circumstances of each patient. It's like recognizing that the desert of medical practice is vast and ever-changing, requiring continuous exploration, evaluation, and adaptation to ensure the best possible outcomes for our patients.

Date :
  1. Date Completed 1981-05-13
  2. Date Revised 2007-11-15
Further Info :

Pubmed ID

7010164

DOI: Digital Object Identifier

10.1056/NEJM198104163041601

Related Literature

Article Analysis
・Effective treatment of gastrointestinal bleeding
SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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