: From a third-party payer perspective with a
time horizon of 60 days, we built a decision analytic
model comparing standard endoscopic therapy to a strategy in which all patients presenting to the ED with UGI
bleeding would start iv PPI before endoscopy. After
endoscopy, only those with peptic ulcers would be kept on
iv PPI added to standard therapy. Probabilities of health
events were extracted from published literature. Resource
utilization profiles and costs (iv PPI, hospital stay for
medical and operative procedures, and professional fees)
were based on Medicare reimbursement data from a large