Organisational aspects of AUGIB care
Essential criteria* | Availability % (n) |
Facilities for undertaking endoscopy for all patients presenting with AUGIB. | 92% (189/205) had OOH endoscopy available on-site |
Urgent endoscopy to be available out of hours in high risk patients (OOH on call rota) | 52% (106/205) reported having an OOH endoscopy on call rota |
Pulse oximetry monitoring to be used in all sedated patients | 91% (2963/3249) of first endoscopies excluding patients who had general anaesthetic |
ECG monitoring to be available for high risk patients | 47% (96/205) of sites with this available during OOH endoscopy |
Blood pressure monitoring to be available for high risk patients | 80% (165/205) of sites with this available during OOH endoscopy |
Endoscopists reported to be capable of applying endoscopic haemostatic therapies including: | n=647 (consultants on rota) |
Ulcer injection, thermal or endoclip | 97% (626/647) |
Variceal banding | 76% (492/647) |
Variceal sclerotherapy | 80% (517/647) |
Balloon tamponade for variceal bleeding | 85% (552/647) |
Desirable criteria* | |
Endoscopy to be available for patients with AUGIB on daily list for those not requiring OOH endoscopy | 58% (119/205) had a dedicated Monday–Friday endoscopy slot |
Nurses trained in the use of therapeutic endoscopic techniques to be available for all emergency endoscopy | 37% (76/205) had a nurses on-call endoscopy rota |
Trainees to be under direct supervision for emergency endoscopy until passed as competent | 41% (666/1640) of first endoscopies performed by trainees were performed under supervision |