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PTH-005 Trends in endoscopy for acute upper gastrointestinal bleeding: outcomes from a four year informatics audit of a single centre
  1. S Mumtaz1,
  2. N Bhala1,
  3. E ward2,
  4. R Boulton1
  1. 1Gastroenterology
  2. 2Information Technology, University Hospital Birmingham, Birmingham, UK

Abstract

Introduction Acute upper gastrointestinal bleeding (AUGIB) is a common medical emergency with persistent mortality rates. in the UK, National Institute of Clinical Excellence (NICE) recommends offering Oesophagogastroscopy (OGD) within 24 hours to patients presenting with a stable AUGIB. We audited our emergency OGD practice against these national standards as part of the informatics programme at our hospital to assess trends and otcomes.

Method As part of prospective work, a retrospective audit was carried out over four years (2011–2014) for all patients undergoing an OGD for AUGIB at the Queen Elizabeth Hospital Birmingham. This serves a catchment population of around 7 50 000 including regional liver, renal and caridac transplant centres. We included patients presenting to Emergency Department with AUGIB (Acute) and those who had AUGIB as an in-patient (IP) Electronic data were accessed and analysed for time trends and 28 days mortality

Results From 2011 to 2014, 1791 urgent OGDs were performed for patients presenting with AUGIB. The results are summarised in the table below.

Conclusion This large-scale informatics audit shows that the time taken from referral to endosocopy for urgent OGD for AUGIB has improved over 4 years in accordance with NICE guidance. Whilst there was a 33% (p<0.01) reduction in the mean time to OGD over four years, the trends in demographics, risks aetiology and mortality outcomes have remained similar in this time period.

Reference

  1. . https://www.nice.org.uk/guidance/cg141

Disclosure of Interest None Declared

  • mortality
  • Upper Gastrointestinal Bleeding

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