Journal article
Admission care bundles for decompensated cirrhosis are poorly utilised across the UK: results from a multi-centre retrospective study
Clinical medicine (London, England), Vol.23(3), pp.193-200
05/01/2023
DOI: 10.7861/clinmed.2022-0541
PMCID: PMC11046546
PMID: 37236796
Abstract
Admission care bundles have been demonstrated to improve clinical outcomes for patients in several settings. Decompensated cirrhosis care bundles have been developed following previous reports demonstrating poor care for inpatients with alcohol-related liver disease (ARLD). We performed a UK multi-centred retrospective observational study to understand how frequently decompensated cirrhosis admission care bundles were utilised, who they were used for and their impact on outcomes. In this study (1,224 admissions, 104 hospitals), we demonstrated that admission care bundle usage was low across the UK (11.44%). They were more likely to be utilised in patients with ARLD or who were jaundiced, and less likely to be used in patients admitted for gastrointestinal bleeding. The admission care bundle improved the standard of alcohol care and requesting initial investigations. However, there were areas where more than 80% compliance was achieved without the use of a care bundle and areas where less than 50% compliance was achieved with the use of a care bundle. Given the low utilisation of care bundles, we were unable to demonstrate an effect on risk-adjusted mortality. Thus, interdisciplinary work is required to develop tools which are widely used and improve care and outcomes for patients with decompensated cirrhosis.
Details
- Title: Subtitle
- Admission care bundles for decompensated cirrhosis are poorly utilised across the UK: results from a multi-centre retrospective study
- Creators
- Trainee Collaborative for Research and Audit in Hepatology UKOliver D. Tavabie (Contributor) - Kings Coll Hosp London, Inst Liver Studies, London, EnglandAbdullah Abbasi (Contributor)
- Resource Type
- Journal article
- Publication Details
- Clinical medicine (London, England), Vol.23(3), pp.193-200
- DOI
- 10.7861/clinmed.2022-0541
- PMID
- 37236796
- PMCID
- PMC11046546
- NLM abbreviation
- Clin Med (Lond)
- ISSN
- 1470-2118
- eISSN
- 1473-4893
- Publisher
- Roy Coll Phys London Editorial Office
- Language
- English
- Date published
- 05/01/2023
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984844345802771
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