To Scope or Not to Scope? The Safety of Upper Endoscopy in the Setting of Pulmonary Embolism.

Cohen-Mekelburg, Shirley; Rosenblatt, Russell; Mathews, Steven; Namn, Yunseok; Tafesh, Zaid; Wan, David; Crawford, Carl · Am J Gastroenterol · 2019

cross_sectional · Level IV

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Abstract

We aimed to describe the frequency of upper endoscopy and associated outcomes in subjects hospitalized with upper GI bleeding (UGIB) and pulmonary embolism (PE). We performed a cross-sectional study using the Nationwide Inpatient Sample from 2007 to 2014. The association between upper endoscopy and in-hospital mortality was evaluated using propensity score matching. A total of 44,412 subjects had a coexistent PE and UGIB. 63.5% had an inpatient upper endoscopy with a lower likelihood of in-hospital death and a shorter length of stay. A substantial proportion of inpatients with PE and UGIB undergo endoscopy with a relatively lowmortality rate.

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