Predictive index, early endoscopy cut hospitalization for upper GI bleeding.
Clinicians at Cedars-Sinai Medical Center in Los Angeles have designed a clinical guideline that uses a scoring index to stratify patient risks, resulting in early discharge from the hospital for the 70% of patients found to be low risk. A more ambitious plan at Kaiser Permanente treats GI bleeding on an outpatient basis, saving an average of $990 per patient. Here are the details, plus the scoring grid.
D003363:Cost Control; D004724:Endoscopy / Q000706:statistics & numerical data*; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000191:economics* / Q000453:epidemiology; D006764:Hospitals, Community / Q000191:economics / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000191:economics*; D015141:Los Angeles / Q000453:epidemiology; D017410:Practice Guidelines as Topic; D018570:Risk Assessment