Table 3.
Outcomes and cost for inpatient versus ASC ERCP, EUS, and the total population.
| ERCP | EUS | Total | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| IN | ASC | ALL | p ∗ (95% CI) | IN | ASC | ALL | p ∗ (95% CI) | IN | ASC | ALL | p ∗ (95% CI) | |
| Outcomes | ||||||||||||
| Postprocedural complications | 10 (13%) | 12 (8%) | 18 (8%) | 0.20 | 1 (5%) | 4 (3%) | 5 (4%) | 0.60 | 11 (11%) | 16 (6%) | 27 (7%) | 0.11 |
| Pancreatitis | 7 (9%) | 11 (7%) | 18 (8%) | 0.60 | 1 (5%) | 3 (3%) | 4 (3%) | 0.20 | 8 (8%) | 14 (5%) | 22 (6%) | 0.43 |
| Hemorrhage | 3 (4%) | 1 (1%) | 4 (2%) | 0.25 | 0 | 1 (1%) | 1 (1%) | 0.98 | 3 (3%) | 2 (0.7%) | 5 (1%) | 0.92 |
| Perforation | 0 | 0 | 0 | 1.00 | 0 | 0 | 0 | 1.00 | 0 | 0 | 0 | 1.00 |
|
| ||||||||||||
| Mortality | ||||||||||||
| All-cause | 7 (9%)a,b | 1 (1%)c | 8 (3%) | 0.01 | 1 (5%) | 2 (2%)d | 3 (2%) | 0.12 | 9 (9%) | 3 (1%) | 12 (3%) | 0.09 |
|
| ||||||||||||
| Service call | ||||||||||||
| Fevers | 7 (9%) | 2 (1%) | 9 (4%) | 0.02 | 2 (9%) | 2 (2%) | 4 (3%) | 1.00 | 9 (9%) | 4 (1%) | 13 (4%) | 0.047 |
| Nausea/vomiting | 8 (11%) | 17 (11%) | 25 (11%) | 0.87 | 0 | 7 (6%) | 7 (5%) | 0.98 | 8 (8%) | 24 (9%) | 32 (9%) | 0.79 |
| Abdominal pain | 16 (21%) | 37 (23%) | 53 (23%) | 0.41 | 2 (9%) | 11 (9%) | 13 (9%) | 0.98 | 18 (18%) | 48 (17%) | 66 (18%) | 0.13 |
|
| ||||||||||||
| Medical care | ||||||||||||
| ED | 2 (3%) | 5 (3%) | 7 (3%) | 0.60 | 0 | 2 (2%) | 2 (%) | 0.94 | 2 (2%) | 7 (3%) | 9 (2%) | 0.70 |
| Urgent caree | 1 (1%) | 2 (1%) | 3 (1%) | 1.00 | 0 | 0 | 0 | 1.00 | 1 (1%) | 2 (1%) | 3 (1%) | 0.90 |
| Hospitalizationf | 1 (1%) | 4 (3%) | 5 (2%) | 0.32 | 0 | 2 (2%) | 2 (1%) | 0.94 | 1 (1%) | 6 (2%) | 7 (2%) | 0.34 |
| LOS | 9.3 | 0.6 | 3.6 | <0.0001 | 4.4 | 0.7 | 2.8 | 0.21 | 8.7 | 0.8 | 2.8 | <0.0001 |
| Readmission | 8 (11%) | 10 (6%) | 18 (8%) | 0.04 | 1 (5%) | 10 (9%) | 11 (8%) | 0.80 | 9 (19%) | 20 (7%) | 29 (8%) | 0.17 |
|
| ||||||||||||
| Cost | ||||||||||||
| Procedure | $489.60 | $474.30 | $490.70 | 0.12 | $339.10 | $292.20 | $438.40 | 0.35 | $482.30 | $423.20 | $438.40 | <0.0001 |
| Total | $19,022.90 | $1,574.30 | $7,662.80 | <0.0001 | $9,196.30 | $1,668.90 | $6,082.20 | 0.21 | $17,815.70 | $2,026.90 | $6,082.20 | <0.0001 |
ERCP: endoscopic retrograde cholangiopancreatography; EUS: endoscopic ultrasound; IN: inpatients; ASC: ambulatory surgical center patients; ALL: inpatients + ASC patients; ARDS: acute respiratory distress syndrome; CI: confidence interval; SIRS: systemic inflammatory response syndrome; MOF: multiple organ failure; MI: myocardial infarction; ED: emergency department; LOS: length of stay.
∗Note that p < 0.01 is significant.
aInpatient that suffered cardiac arrest or respiratory failure was found to have septic shock and mild pancreatitis on day 21 after ERCP.
bA second inpatient after cancer surgery died of septic shock.
cASC admitted on day 28 with pancreatitis or respiratory failure was DNR/DNI but family desired to be made hospice.
dASC admitted with septic/cardiogenic shock after surgery for cancer.
eNote that no urgent care visits were hospitalized.
fNote that all hospitalizations were sent from a call to the service or directly from the endoscopy unit to the ED.