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- W4296475473 abstract "<h3>Introduction</h3> 50% of patients with cirrhosis will develop ascites within 10 years of diagnosis. Mortality following development of ascites is estimated at 50%. Refractory ascites is defined as ascites which does not respond to diuretic therapy, or where the patient cannot tolerate diuretic therapy secondary to renal compromise or electrolyte imbalance. For these patients, therapeutic paracentesis is necessary. In previous years this has required admission to hospital for at least one day to facilitate paracentesis. North Tees Hospital initiated a nurse led paracentesis service in 2019 as an option for patients to attend for day case therapeutic drainage of their ascites. <h3>Aim</h3> This audit aims to evaluate the number of paracentesis performed since the nurse led paracentesis service was initiated, and by extension, the number of bed days saved. <h3>Method</h3> Records of patient attendance for paracentesis between January 2020 and September 2021 where interrogated. Patient numbers attending the medical day unit for paracentesis were calculated. The trust accountancy department was contacted for approximate figures for the average cost of one general medical bed day. <h3>Results</h3> Paracentesis numbers attending the Medical Day unit in North Tees Hospital between January 2020 and September 2021 were calculated. In total 151 day case paracentesis were carried out in 2020 with 125 carried out up to September 2021. This has saved a minimum total of 276 bed days in 21 months. At an approximate cost of £250 per general medicine inpatient bed day, this has saved the NHS £69000 (minus the cost of a bed day in medical day unit). <h3>Conclusion</h3> Nurse led outpatient paracentesis clinic is a viable method of decreasing inpatient bed days and hospital expenditure. It allows patients who have specialist needs to be cared for by appropriately trained staff in a familiar setting, without procedure delay or prolonged waits for inpatient beds. It also facilitates additional bed space for the increasing pressures on the acute medical take." @default.
- W4296475473 created "2022-09-21" @default.
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- W4296475473 date "2022-09-01" @default.
- W4296475473 modified "2023-09-27" @default.
- W4296475473 title "OP20 The efficacy of a nurse led paracentesis service on reducing hospital admissions for patients with decompensated liver cirrhosis" @default.
- W4296475473 doi "https://doi.org/10.1136/gutjnl-2022-basl.33" @default.
- W4296475473 hasPublicationYear "2022" @default.
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