{"id":6342,"date":"2026-01-27T12:24:23","date_gmt":"2026-01-27T15:24:23","guid":{"rendered":"https:\/\/revistaabcd.org.br\/?p=6342"},"modified":"2026-01-27T12:24:23","modified_gmt":"2026-01-27T15:24:23","slug":"standardized-approach-to-small-bowel-bleeding-in-a-hierarchical-healthcare-network-with-varying-levels-of-complexity","status":"publish","type":"post","link":"https:\/\/revistaabcd.org.br\/pt-br\/standardized-approach-to-small-bowel-bleeding-in-a-hierarchical-healthcare-network-with-varying-levels-of-complexity\/","title":{"rendered":"Standardized approach to small bowel bleeding in a hierarchical healthcare network with varying levels of complexity"},"content":{"rendered":"<h2><strong>Background:<\/strong><\/h2>\n<p>The systematized approach to patients with small bowel bleeding (SBB) can reduce risks and costs for both patients and the Unified Health System (SUS).<\/p>\n<h2><strong>Aim:<\/strong><\/h2>\n<p>Evaluate the evolution of the systematized approach to SBB in a regulated, hierarchically organized healthcare network of varying complexity.<\/p>\n<h2><strong>Methods:<\/strong><\/h2>\n<p>Analysis of the medical records of patients with SBB treated at a tertiary, public, and teaching hospital in two distinct periods: before the implementation of a specialized service and algorithm for SBB (2001\u20132014, group without algorithm\u2014GSA) and after the establishment of a trained, dedicated team, availability of capsule endoscopy and enteroscopy (2015\u20132023, group with algorithm\u2014GCA). Demographic, clinical, and care-related data from 184 patient records were collected and entered into the REDCap platform. Additionally, a cost analysis was conducted.<\/p>\n<h2><strong>Results:<\/strong><\/h2>\n<p>Among the 184 patients, 82 (45%) were in the GSA group and 102 (55%) in the GCA group. The average number of specific exams per patient was 7.19 in GSA and 6.37 in GCA (p=0.02, p&lt;0.05). Blood transfusions were performed in 64 patients (78.05%) in GSA and 68 patients (66.67%) in GCA (p=0.05). The average time to reach diagnosis was 309.9 weeks in GSA and 75.37 weeks in GCA (p&lt;0.01). The average hospital stay was 7.57 weeks in GSA and 2.55 weeks in GCA (p&lt;0.01). In GSA, 19 patients (23.2%) died due to SBB, while in GCA only six did (5.9%) (p=0.001, p&lt;0.05). The average cost was higher compared to GCA (p&lt;0.01).<\/p>\n<h2><strong>Conclusions:<\/strong><\/h2>\n<p>The results of organizing a reference service for SBB care support are sufficient to subsidize the planning of services and regional healthcare networks.<\/p>","protected":false},"excerpt":{"rendered":"<p>Background: The systematized approach to patients with small bowel bleeding (SBB) can reduce risks and costs for both patients and the Unified Health System (SUS). Aim: Evaluate the evolution of the systematized approach to SBB in a regulated, hierarchically organized healthcare network of varying complexity. Methods: Analysis of the medical records of patients with SBB [&hellip;]<\/p>","protected":false},"author":14,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[9],"tags":[1488,342,804,207,1104,572],"class_list":["post-6342","post","type-post","status-publish","format-standard","hentry","category-original-article","tag-algorithms","tag-capsule-endoscopy","tag-double-balloon-enteroscopy","tag-hemorrhage","tag-intestine","tag-small"],"acf":[],"modified_by":"Rodrigo","_links":{"self":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/6342","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/comments?post=6342"}],"version-history":[{"count":2,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/6342\/revisions"}],"predecessor-version":[{"id":6345,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/6342\/revisions\/6345"}],"wp:attachment":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/media?parent=6342"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/categories?post=6342"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/tags?post=6342"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}