Title: The Impact of Inter-Hospital Transfer on Outcomes in Lower Gastrointestinal Bleeding: A
Retrospective Cohort Analysis
Version: 3 Date: 06 Oct 2024
Reviewer's report:
-Are there any previously published studies that have used similar CPT or procedure codes as
used in this study for colonoscopy and interventions?
-Authors have used separate codes for septic shock and vasopressor requirements.  Most patients
in shock are administered pressors based on etiology. Would using both variables duplicate
entries and confound analysis?
-"This trend not only reflects the severity of their conditions but also highlights potential
inefficiencies in other treatments provided pre-transfer" As authors stated, these transfers were
more likely to get IR procedures for uncontrolled LGIB. Were there any data to suggest
inefficiencies prior to transfer- time to colonoscopy ?
-Was propensity scoring method used?
Title: The Impact of Inter-Hospital Transfer on Outcomes in Lower Gastrointestinal Bleeding: A
Retrospective Cohort Analysis
Version: 3 Date: 06 Oct 2024
Reviewer's report:
-Are there any previously published studies that have used similar CPT or procedure codes as
used in this study for colonoscopy and interventions?
-Authors have used separate codes for septic shock and vasopressor requirements.  Most patients
in shock are administered pressors based on etiology. Would using both variables duplicate
entries and confound analysis?
-"This trend not only reflects the severity of their conditions but also highlights potential
inefficiencies in other treatments provided pre-transfer" As authors stated, these transfers were
more likely to get IR procedures for uncontrolled LGIB. Were there any data to suggest
inefficiencies prior to transfer- time to colonoscopy ?
-Was propensity scoring method used?
Please review this paper.
user
Title: The Impact of Inter-Hospital Transfer on Outcomes in Lower Gastrointestinal Bleeding: A
Retrospective Cohort Analysis
Version: 3 Date: 06 Oct 2024
Reviewer's report:
-Are there any previously published studies that have used similar CPT or procedure codes as
used in this study for colonoscopy and interventions?
-Authors have used separate codes for septic shock and vasopressor requirements.  Most patients
in shock are administered pressors based on etiology. Would using both variables duplicate
entries and confound analysis?
-"This trend not only reflects the severity of their conditions but also highlights potential
inefficiencies in other treatments provided pre-transfer" As authors stated, these transfers were
more likely to get IR procedures for uncontrolled LGIB. Were there any data to suggest
inefficiencies prior to transfer- time to colonoscopy ?
-Was propensity scoring method used?
assistant