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Home/Studies/Gastrointestinal Haemorrhage
Gastrointestinal Haemorrhage
This study has been commisioned by Healthcare Quality Improvement Partnership HQIP
as part of the Clinical Outcome Review Programme into Medical & Surgical care, as part of the current contract awarded in 2015

Data collection for study: Closed
Publication date: July 2015

Aim:
To identify the remediable factors in the quality of care provided to patients who are diagnosed with an upper or lower GIH.

Objectives:
Based on the issues raised by the expert group, the objectives of this study are to collect information on the following:
  • The quality of assessment including risk stratification and early warning scores
  • Referral pathways: including who the patient is admitted under/transferred to
  • Delays in treatment
    • Endoscopy, CT, interventional radiology, surgery
  • Inequalities in treatment
    • Hospital resources
    • Geographical location
  • Escalation in care and anaesthetic support for interventions
  • Futile/inappropriate interventions

Study population:
Patients aged 16 years or older that were coded for a diagnosis of GI haemorrhage and admitted to hospital between 1st January 2013 and 30th April 2013 inclusive. The included ICD10 codes are:
  • I85.0 - Oesophageal varices with bleeding
  • K92.0 - Haematemesis
  • K92.1 - Melaena
  • K92.2 - Gastrointestinal haemorrhage, unspecified gastrointestinal bleeding
  • K25.0 - Gastric ulcer, acute with haemorrhage
  • K25.2 - Gastric ulcer, acute with both haemorrhage and perforation
  • K26.0 - Duodenal ulcer, acute with haemorrhage
  • K26.2 - Duodenal ulcer, acute with both haemorrhage and perforation
  • K27.0 - Peptic ulcer, site unspecified, acute with haemorrhage
  • K27.2 - Peptic ulcer, site unspecified, acute with both haemorrhage and perforation
  • K28.0 - Gastrojejunal ulcer, acute with haemorrhage
  • K28.2 - Gastrojejunal ulcer, acute with both haemorrhage and perforation
  • K29.0 - Acute haemorrhagic gastritis

Exclusions:
All day cases are excluded from the study.

Data collection:
A sample size of 500 patients will be included.

To identify cases to us for inclusion in the study, please see the spreadsheet instructions.

Supplementary question sheets
There are two supplimentary sheets for the clinical questionnaire. These are for Interventional Radiology and Endoscopy. To download please click the download links on the right hand side.

This webpage is updated regularly, so please check back for more information shortly.

Further questions about the study may be directed to: gih@ncepod.org.uk

Download links
  • For the protocol click here
  • For the clinical questionnaire click here
  • For Interventional Radiology supplementary questions to the clinical questionnaire click here
  • For Endoscopy supplimentary questions to the clinical questionnaire click here
  • For the organisational questionnaire click here
  • For the data collection spreadsheet and instructions click here
  • For an information sheet for Local Reporters please click here

(Adobe Acrobat is required to veiw the pdfs above. The Adobe Acrobat reader is avaiable for free to download from here.)


Frequently Asked Questions

Where can I download a copy of the study protocol?
A copy of the protocol can be downloaded from the "Download links" section of the page.

More..FAQs

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