S. Karger AG
Digestion
,  том 104 ,  издание 6 ,  страницы 446-459

LONG-HOSP Score: A Novel Predictive Score for Length of Hospital Stay in Acute Lower Gastrointestinal Bleeding – A Multicenter Nationwide Study

MINORU FUJITA 1
, 
Tomonori Aoki 2
, 
Noriaki Manabe 3
, 
Yoichiro Ito 4, 5
, 
Katsumasa Kobayashi 6
, 
Atsushi Yamauchi 7
, 
Atsuo Yamada 2
, 
Jun Omori 8
, 
Takashi Ikeya 9
, 
Taiki Aoyama 10
, 
Naoyuki Tominaga 11
, 
Yoshinori Sato 12
, 
Takaaki Kishino 13
, 
Naoki Ishii 14
, 
Tsunaki Sawada 15
, 
Masaki Murata 16
, 
Akinari Takao 17
, 
Kazuhiro Mizukami 18
, 
Ken Kinjo 19
, 
Shunji Fujimori 20
, 
Takahiro Uotani 21
, 
Hiroki Sato 22
, 
Sho Suzuki 23
, 
Toshiaki Narasaka 24, 25
, 
Junnosuke Hayasaka 26
, 
Tomohiro FUNABIKI 27, 28
, 
Yuzuru Kinjo 29
, 
Akira Mizuki 30
, 
Shu Kiyotoki 31
, 
Tatsuya Mikami 32
, 
Ryosuke Gushima 33
, 
Hiroyuki Fujii 34
, 
Yuta Fuyuno 35
, 
Naohiko Gunji 36
, 
Yosuke Toya 37
, 
Kazuyuki Narimatsu 38
, 
Koji Nagaike 39
, 
Tetsu Kinjo 40
, 
Yorinobu Sumida 41
, 
Sadahiro Funakoshi 42
, 
Kiyonori Kobayashi 43
, 
Tamotsu Matsuhashi 44
, 
Yuga Komaki 45, 46
, 
Kuniko Miki 47
, 
Kazuhiro Watanabe 48
, 
Maki Ayaki 49
, 
Takahisa Murao 50, 51
, 
Mitsuhiko Suehiro 52
, 
Akiko Shiotani 51
, 
Jiro Hata 53
, 
Ken Haruma 52
, 
Mitsuru Kaise 8
, 
Naoyoshi Nagata 47, 48
1
 
2
 
3
 
4
 
Department of Gastroenterology, Fukuoka Shin Mizumaki Hospital, Fukuoka, Japan. | 
5
 
6
 
Department of Gastroenterology, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan. | 
7
 
8
 
9
 
10
 
Department of Gastroenterology, Hiroshima City Asa Citizens Hospital, Hiroshima, Japan. | 
11
 
Department of Gastroenterology, Saga-Ken Medical Centre Koseikan, Saga, Japan. | 
12
 
13
 
Department of Gastroenterology and Hepatology, Center for Digestive and Liver Diseases, Nara City Hospital, Nara, Japan. | 
14
 
Department of Gastroenterology, Tokyo Shinagawa Hospital, Tokyo, Japan. | 
15
 
16
 
17
 
18
 
19
 
20
 
21
 
Department of Gastroenterology, Japanese Red Cross Shizuoka Hospital, Shizuoka, Japan. | 
22
 
23
 
24
 
25
 
26
 
27
 
28
 
Emergency and Critical Care Center, Saiseikai Yokohamashi Tobu Hospital, Kanagawa, Japan. | 
29
 
Department of Gastroenterology, Naha City Hospital, Okinawa, Japan. | 
30
 
Department of Internal Medicine, Tokyo Saiseikai Central Hospital, Tokyo, Japan. | 
31
 
Department of Gastroenterology, Shuto General Hospital, Yamaguchi, Japan. | 
32
 
33
 
34
 
Department of Gastroenterology and Hepatology, National Hospital Organization Fukuokahigashi Medical Center, Fukuoka, Japan. | 
35
 
36
 
37
 
38
 
39
 
Department of Gastroenterology and Hepatology, Suita Municipal Hospital, Osaka, Japan. | 
40
 
41
 
Department of Gastroenterology, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan. | 
42
 
43
 
44
 
45
 
46
 
47
 
48
 
49
 
50
 
51
 
52
 
53
 
Тип публикации: Journal Article
Дата публикации: 2023-08-08
S. Karger AG
scimago Q1
wos Q2
БС2
SJR: 1.111
CiteScore: 7.8
Impact factor: 3.6
ISSN: 00122823, 14219867
Gastroenterology
Краткое описание

<b><i>Introduction:</i></b> Length of stay (LOS) in hospital affects cost, patient quality of life, and hospital management; however, existing gastrointestinal bleeding models applicable at hospital admission have not focused on LOS. We aimed to construct a predictive model for LOS in acute lower gastrointestinal bleeding (ALGIB). <b><i>Methods:</i></b> We retrospectively analyzed the records of 8,547 patients emergently hospitalized for ALGIB at 49 hospitals (the CODE BLUE-J Study). A predictive model for prolonged hospital stay was developed using the baseline characteristics of 7,107 patients and externally validated in 1,440 patients. Furthermore, a multivariate analysis assessed the impact of additional variables during hospitalization on LOS. <b><i>Results:</i></b> Focusing on baseline characteristics, a predictive model for prolonged hospital stay was developed, the LONG-HOSP score, which consisted of low body mass index, laboratory data, old age, nondrinker status, nonsteroidal anti-inflammatory drug use, facility with ≥800 beds, heart rate, oral antithrombotic agent use, symptoms, systolic blood pressure, performance status, and past medical history. The score showed relatively high performance in predicting prolonged hospital stay and high hospitalization costs (area under the curve: 0.70 and 0.73 for derivation, respectively, and 0.66 and 0.71 for external validation, respectively). Next, we focused on in-hospital management. Diagnosis of colitis or colorectal cancer, rebleeding, and the need for blood transfusion, interventional radiology, and surgery prolonged LOS, regardless of the LONG-HOSP score. By contrast, early colonoscopy and endoscopic treatment shortened LOS. <b><i>Conclusions:</i></b> At hospital admission for ALGIB, our novel predictive model stratified patients by their risk of prolonged hospital stay. During hospitalization, early colonoscopy and endoscopic treatment shortened LOS.

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FUJITA M. et al. LONG-HOSP Score: A Novel Predictive Score for Length of Hospital Stay in Acute Lower Gastrointestinal Bleeding – A Multicenter Nationwide Study // Digestion. 2023. Vol. 104. No. 6. pp. 446-459.
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FUJITA M. et al. LONG-HOSP Score: A Novel Predictive Score for Length of Hospital Stay in Acute Lower Gastrointestinal Bleeding – A Multicenter Nationwide Study // Digestion. 2023. Vol. 104. No. 6. pp. 446-459.
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@article{2023_FUJITA,
author = {MINORU FUJITA and Tomonori Aoki and Noriaki Manabe and Yoichiro Ito and Katsumasa Kobayashi and Atsushi Yamauchi and Atsuo Yamada and Jun Omori and Takashi Ikeya and Taiki Aoyama and Naoyuki Tominaga and Yoshinori Sato and Takaaki Kishino and Naoki Ishii and Tsunaki Sawada and Masaki Murata and Akinari Takao and Kazuhiro Mizukami and Ken Kinjo and Shunji Fujimori and Takahiro Uotani and Hiroki Sato and Sho Suzuki and Toshiaki Narasaka and Junnosuke Hayasaka and Tomohiro FUNABIKI and Yuzuru Kinjo and Akira Mizuki and Shu Kiyotoki and Tatsuya Mikami and Ryosuke Gushima and Hiroyuki Fujii and Yuta Fuyuno and Naohiko Gunji and Yosuke Toya and Kazuyuki Narimatsu and Koji Nagaike and Tetsu Kinjo and Yorinobu Sumida and Sadahiro Funakoshi and Kiyonori Kobayashi and Tamotsu Matsuhashi and Yuga Komaki and Kuniko Miki and Kazuhiro Watanabe and Maki Ayaki and Takahisa Murao and Mitsuhiko Suehiro and Akiko Shiotani and Jiro Hata and others},
title = {LONG-HOSP Score: A Novel Predictive Score for Length of Hospital Stay in Acute Lower Gastrointestinal Bleeding – A Multicenter Nationwide Study},
journal = {Digestion},
year = {2023},
volume = {104},
publisher = {S. Karger AG},
month = {aug},
url = {https://karger.com/DIG/article/doi/10.1159/000531646},
number = {6},
pages = {446--459},
doi = {10.1159/000531646}
}
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FUJITA, MINORU, et al. “LONG-HOSP Score: A Novel Predictive Score for Length of Hospital Stay in Acute Lower Gastrointestinal Bleeding – A Multicenter Nationwide Study.” Digestion, vol. 104, no. 6, Aug. 2023, pp. 446-459. https://karger.com/DIG/article/doi/10.1159/000531646.