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- W4381113144 abstract "<h3>Introduction</h3> Initiatives to improve the management of acute upper gastrointestinal bleeding (AUGIB) include service delivery improvements and expansion of endoscopy provision. We report the organisational capabilities of UK hospitals in management of AUGIB from the 2022 national audit. <h3>Methods</h3> An electronic questionnaire on the availability and organisation of care in management of AUGIB was sent to sites enrolled for the UK 2022 AUGIB audit. <h3>Results</h3> Data on the first 81/158 participating hospitals are reported in this interim analysis. Annual case load of AUGIB patients: <100 (12%,n=10); 100–200 (35%,n=28); 201–300 (18%,n=15);>300 (35%,n=28). 93%(n=75) had high dependency unit/level 2 care; 95%(n=77) intensive therapy unit/level 3 care; 57%(n=46) a lead clinician responsible for pathways and governance of GI bleeding. All hospitals but one had an endoscopy unit on site. 26%(n=21) had provision for 7 days protected endoscopy slots; 84%(n=68) for weekday emergency slots; 42%(n=34) had weekend slots, with all offering Saturday slots and 62%(21/34) Sunday slots. 85%(n=69) had access to interventional radiology (24/7 on site access for 36%,n=29; on site access for transjugular intrahepatic portosystemic shunt for 22%,n=18); 95%(n=77) to emergency surgery; and 97%(n=79) had a transfusion lab on site. 79%(n=64) had a written policy on AUGIB management – separate variceal and non-variceal for 67%(43/64); transfusion management for 94%(60/64), but 11%(7/64) still included use of tranexamic acid. 38%(n=31) routinely used an AUGIB care bundle. AUGIB audit was carried out by 93%(n=75), with 83%(62/75) within the last 1 year. Out of hours (OOH) endoscopy was offered by 90%(n=73) with 95%(69/73) having a formal OOH endoscopy rota. There were a total of 725 endoscopists on OOH rota across the included hospitals (median 10, IQR 7–12 per site). Comparisons with the 2007 audit are shown (table 1). <h3>Conclusions</h3> There is improvement in OOH endoscopy rota and staffing provisions compared to 2007. Weekend list availability, use of AUGIB care bundles and written policies merit improvement." @default.
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- W4381113144 date "2023-06-01" @default.
- W4381113144 modified "2023-09-27" @default.
- W4381113144 title "O13 Acute upper gastrointestinal bleeding in the UK: availability and organisation of care in the 2022 UK audit" @default.
- W4381113144 doi "https://doi.org/10.1136/gutjnl-2023-bsg.13" @default.
- W4381113144 hasPublicationYear "2023" @default.
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