Impact of a bleeding care pathway in the management of acute upper gastrointestinal bleeding.
| dc.contributor.author | Mumtaz, Khalid | |
| dc.contributor.author | Kamani, Lubna | |
| dc.contributor.author | Hamid, Saeed | |
| dc.contributor.author | Abid, Shahab | |
| dc.contributor.author | Shah, Hasnain A | |
| dc.contributor.author | Jafri, Wasim | |
| dc.date.accessioned | 2012-09-11T09:44:44Z | |
| dc.date.available | 2012-09-11T09:44:44Z | |
| dc.date.issued | 2011-03 | |
| dc.description.abstract | Objectives Upper gastrointestinal (UGI) bleeding carries high morbidity and mortality. The use of a bleeding care pathway (BCP) may improve outcomes, but the results are inconsistent in various studies. Methods A BCP for patients with UGI bleed with admission in a bleeding care unit (BCU) has been in use at our hospital since 2005. Prior to this, a high dependency unit was used for management of all emergencies including UGI bleeding. We compared the length of stay in the bleeding care/high dependency unit, total hospital stay, time to UGI endoscopy after admission, and survival between pre-2005 and post-2005 patients. Results Five hundred and fifty-one patients were admitted with acute UGI bleed in the last 5 years; 121 belonged to pre- BCP (2004) period and 430 after implementation of the pathway (2005–2008). The mean (SD) time to UGI endoscopy improved from 21.3 (7.4) hours in the pre-BCU era to 9.4 (9.9) hours in BCU, p<0.001. BCU stay was shorter from 2.41 (1.4) days pre-BCP to 1.93 (1.32) days post-BCP, (p<0.001). The total hospital stay in pre-BCU (4.0 [2.08] days) as compared to BCU (4.13 [2.62] days; p=0.58) was similar; there was no impact of BCU on survival. Conclusion A BCU implementation showed improvement in time to UGI endoscopy, and did not reduce BCU stay or impact survival. | en_US |
| dc.identifier.citation | Mumtaz Khalid, Kamani Lubna, Hamid Saeed, Abid Shahab, Shah Hasnain A, Jafri Wasim. Impact of a bleeding care pathway in the management of acute upper gastrointestinal bleeding. Indian Journal of Gastroenterology. 2011 Mar-Apr; 30(2): 72-77. | en_US |
| dc.identifier.uri | https://imsear.searo.who.int/handle/123456789/141264 | |
| dc.language.iso | en | en_US |
| dc.source.uri | https://www.indianjgastro.com/IJG_pdf/march2011/2011_30_2_4.pdf | en_US |
| dc.subject | Gastrointestinal bleeding | en_US |
| dc.subject | Outcome research | en_US |
| dc.subject | Quality of care | en_US |
| dc.title | Impact of a bleeding care pathway in the management of acute upper gastrointestinal bleeding. | en_US |
| dc.type | Article | en_US |