Researchers in Denmark evaluated the quality of hospital care delivered to more than 13,500 patients with peptic ulcer bleeding as part of a large-scale quality improvement initiative.
As part of a large-scale effort to improve the quality of care delivered to patients with peptic ulcer bleeding, the authors of “Improving Quality of Care in Peptic Ulcer Bleeding: Nationwide Cohort Study of 13,498 Consecutive Patients in the Danish Clinical Register of Emergency Surgery,” published in The American Journal of Gastroenterology, looked at a large cohort of patients who were treated for peptic ulcer bleeding in Danish hospitals.
Describing the treatment of peptic ulcer bleeding as complex, and with a high rate of mortality, the researchers reviewed the demographic, clinical, and prognostic data collected by hospitals treating these patients, and evaluated the quality of care delivered using eight process and outcome indicators, including “time to initial endoscopy, hemostasis obtainment, proportion undergoing surgery, rebleeding risks, and 30-day mortality.”
Of the nearly 13,500 patients studied (median age 74 years), one in four were classified as “in-hospital bleeders.” The researchers reported the following results:
The authors concluded that quality of care in peptic ulcer bleeding has “improved substantially in Denmark, but the 30-day mortality remains high. Future initiatives to improve outcomes may include earlier endoscopy, having fully trained endoscopists on call, and increased focus on managing coexisting disease.”