Endoscopy 2025; 57(S 02): S233
DOI: 10.1055/s-0045-1805568
Abstracts | ESGE Days 2025
Moderated poster
Small in diameter, large in ideas 04/04/2025, 11:30 – 12:30 Poster Dome 1 (P0)

Dedicated practice for patients discharged after gastrointestinal bleeding: single center cohort study and cost-effectiveness analysis

Authors

  • C Marmo

    1   Agostino Gemelli University Policlinic, Rome, Italy

  • D Feliciani

    1   Agostino Gemelli University Policlinic, Rome, Italy

  • B Funaro

    1   Agostino Gemelli University Policlinic, Rome, Italy

  • R Marmo

    2   A.S.L. Salerno, Salerno, Italy

  • A Gasbarrini

    1   Agostino Gemelli University Policlinic, Rome, Italy

  • M E Riccioni

    3   Catholic University of the Sacred Heart, Rome, Italy
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    Aims The aim of the study is to verify if the management in a dedicated practice after hospital discharge for gastrointestinal bleeding reduces further bleeding and costs.

    Methods This is an ambispective cohort single center study, including patients observed between May 2022 and September 2023 in our clinical practice dedicated to gastrointestinal bleeding. We enrolled consecutive patients with overt gastrointestinal bleeding or iron deficiency anemia affected by vascular lesions. The effectiveness was defined as a composite endpoint including iron supplementation, blood transfusion, medical treatment and number of hospital stay. Costs were evaluated starting from Diagnosis Related Groups (DRG) codes. The cost effectiveness analysis and ICER has been calculated using the ICERconf.EXE software (Software Prescriptions, c/o Bob Obenchain, California, USA).

    Results In our institute 602 patients with gastrointestinal bleeding were evaluated between May 2022 and September 2023, of these 79 were included in the study. The mean age was 73.8 years (SD±10,8), 46% were female. The source of bleeding was angiodysplasia in 63% of patients, GAVE in 9% (Gastric Antral Vascular Ectasia), erosions in 9%. After the introduction in the dedicated practice, the re-bleeding decrease from 1.3 episodes to 0.2 episodes, p<0.001. The cost average after the practice was 4074 euro (SD±5485), the average cost before the practice was 4885 euro (SD±4567), it has been observed a cost saving after the management in the dedicated practice, C diff=-751 euro. The average effectiveness after practice was 8.7 (SD±1.06) and the average effectiveness before the practice was 7.3 (SD±1.3) with the E diff=1.47, p<0.001.

    Conclusions The dedicated practice for patients with gastrointestinal bleeding provides effectiveness in reducing transfusion, iron supplementation and hospitalization with a consistent cost reduction.


     

    Conflicts of Interest

    Authors do not have any conflict of interest to disclose.

    Publication History

    Article published online:
    27 March 2025

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