ERCP quality indicators: The experience of a high-volume tertiary care center in Saudi Arabia
| Autor: | Abdullah Al Mtawa, Abed Al Lehibi, Areej Al Balkhi, Nawaf Al Otaibi, Abdullah Al Khathlan, Mostafa Seleem, Ahmad Al Ghamdi, Ahmad AlEid, Shahem Abbarh, Khalid Al Sayari, Adel Qutub |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Cholangitis Perforation (oil well) MEDLINE Saudi Arabia Credentialing Perioperative Care Tertiary Care Centers 03 medical and health sciences Young Adult 0302 clinical medicine Health care Medicine Humans Child Aged Quality Indicators Health Care Retrospective Studies Aged 80 and over Cholangiopancreatography Endoscopic Retrograde Endoscopic retrograde cholangiopancreatography medicine.diagnostic_test business.industry Incidence (epidemiology) General surgery Gastroenterology Retrospective cohort study Middle Aged Confidence interval Pancreatitis Intestinal Perforation 030220 oncology & carcinogenesis Practice Guidelines as Topic 030211 gastroenterology & hepatology Female business Gastrointestinal Hemorrhage Hospitals High-Volume |
| Zdroj: | Arab journal of gastroenterology : the official publication of the Pan-Arab Association of Gastroenterology. 20(1) |
| ISSN: | 2090-2387 |
| Popis: | Background Endoscopic retrograde cholangiopancreatography (ERCP) is one of the most technically demanding and high-risk procedures performed by GI endoscopists. Therefore, guidelines or position statements on various aspects of quality indicators, safety indicators and credentialing for ERCP have been developed by gastroenterology associations. In this paper, we evaluate the ERCP quality in a single, high-volume, tertiary care center in Saudi Arabia using a number of measures commonly stated by these organizations, and compare the experience of that center to the previously-published standards in this regard. Patients and Methods This is a descriptive, retrospective chart review of a consecutive sample taken over 12 continuous months (July 2016–June 2017). Data collected included demographic characteristics, and technical/clinical details from three time periods: preprocedure, intraprocedure, and postprocedure. Measurement parameters were all taken from the ASGE/ACG guidelines. Data was represented by the percentage of which each indicator was achieved, and the 95% proportion confidence intervals (CIs) when needed. Results From July 2016 to June 2017, 281 ERCP procedures were performed. An outstanding majority of them (95.7%) was done for therapeutic purposes, whereas 4.3% were diagnostic procedures. The sample included 206 patients, of whom 83 (40.3%) were males. The age of the participants ranged between 11 and 101 years (mean age ± SD; 51 ± 19). The quality of ERCP at the center in which the study was done met the performance targets stated by the ASGE/ACG for almost all indicators. Adverse events reported in our series were lower than previous studies for pancreatitis and perforation, and slightly higher in the incidence of bleeding, cholangitis , and death. Conclusion In a single, high-volume, tertiary care center in Saudi Arabia, the quality of ERCP met the performance targets stated by the ASGE/ACG for almost all indicators. |
| Databáze: | OpenAIRE |
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