Table 2.
Outcomes analysis by transfer status for adults with variceal and nonvariceal upper gastrointestinal bleeding
| Outcomes | VUGIB = 28,275 |
NVUGIB = 781,369 |
||||
|---|---|---|---|---|---|---|
| Nontransferred (n = 24,744) | Transferred (n = 2887) | AOR (95% CI; P value) | Nontransferred (n = 684,136) | Transferred (64,969) | AOR (95% CI; P value) | |
| Mortality, % | 4.82 | 8.19 | 1.49 (1.02–2.18; 0.04) | 1.60 | 3.40 | 1.86 (1.65–2.09; <0.01) |
| Vasopressor requirement, % | 1.62 | 3.83 | 2.13 (1.26–3.62; <0.01) | 0.87 | 2.46 | 2.37 (2.02–2.78; <0.01) |
| Mechanical ventilation, % | 12.48 | 22.26 | 1.73 (1.35–2.21; <0.01) | 3.61 | 7.99 | 2.02 (1.86–2.20; <0.01) |
| Requiring ICU admission, % | 12.97 | 23.13 | 1.76 (1.38–2.24; <0.01) | 4.08 | 8.92 | 2.01 (1.86–2.18; <0.01) |
| Septic shock, % | 0.77 | 1.91 | 1.87 (0.87–4.05; 0.11) | 0.60 | 1.32 | 2.03 (1.69–2.44; <0.01) |
| AKI requiring dialysis, % | 0.39 | 1.57 | 3.79 (1.35–10.63; 0.01) | 0.53 | 1.02 | 1.76 (1.43–2.17; <0.01) |
| Adjusted mean difference | ||||||
| Mean LOS, days (95% CI) | 4.50 (4.39–4.61) |
5.25 (4.83–5.67) |
0.45 (0.04–0.85; 0.03) |
4.42 (4.40–4.45) |
5.5 (5.42–5.65) |
0.95 (0.82–1.07; <0.01) |
| THC, mean, $US | 61,354 (59,457–63,250) |
68,613 (61,064–76,161) |
5677 (−2240–13,595; 0.16) |
54,839 (54,158–55,520) |
61,755 (59,431–64,079) |
3754 (1,556–5,953; <0.01) |
AKI indicates acute kidney injury; AOR, adjusted odds ratio; CI, confidence interval; ICU, intensive care unit; LOS, length of stay; NVUGIB, nonvariceal upper GI bleed; THC, total hospitalization charges; VUGIB, variceal upper GI bleed.