![]() ![]() How to cite this URL: Mosadeghi S, Ren H, Catungal J, Yen I, Liu B, Wong R J, Bhuket T. Utilization of fecal occult blood test in the acute hospital setting and its impact on clinical management and outcomes. How to cite this article: Mosadeghi S, Ren H, Catungal J, Yen I, Liu B, Wong R J, Bhuket T. Keywords: Endoscopy, fecal occult blood test (FOBT), inpatient FOBT Quality improvement initiatives are needed to educate clinicians on the appropriate use of FOBT, which is primarily for average risk CRC screening. Setting limitations on inpatient FOBT may reduce the inappropriate utilization of inpatient FOBT. ![]() Conclusion: Inappropriate utilization of FOBT in the inpatient setting is common, even when the indication does not support its use. After discontinuing the availability of inpatient FOBT, patients were less likely to undergo endoscopic examinations. As expected, patients with positive FOBT were significantly more likely to undergo endoscopic examinations ( P < 0.01). Interestingly, 23% ( n = 47) of the patients undergoing inpatient FOBT had overt GI bleeding. The most common reason cited for FOBT was anemia (36%, n = 74) followed by gastrointestinal (GI) bleeding (27%, n = 55). Results: A total of 207 inpatient FOBTs were performed in 2011. The number of inpatient endoscopic procedures before and after discontinuing inpatient FOBT was also assessed. Indications for FOBT, and the impact of FOBT results on endoscopic procedures performed and clinical outcomes were assessed. ![]() Materials and Methods: A cross-sectional study of consecutive adult patients undergoing FOBT from Januto Decemduring an acute medical admission at a large urban safety net hospital was performed. Aims: To evaluate practice trends in utilizing FOBT on inpatients and its impact on affecting clinical management and outcomes. Background: Despite lack of evidence supporting the use of fecal occult blood test (FOBT) in the acute hospital setting, FOBT is commonly used in the inpatient setting for reasons other than colorectal cancer (CRC) screening. ![]()
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