PTH-056 Mortality & readmission: a descriptive study of jag endoscopy unit data. (June 2019)

• Record Type: Journal Article
• Authors: Ravindran, Srivathsan; Ashrafian, Hutan; Broughton, Raphael; Dron, Michael; Shaw, Tim; Darzi, Ara; Thomas-Gibson, Siwan
• Is Part Of: Gut. Volume 68(2019)Supplement 2
• Page Start: A40
• Page End: A41
• Publication Date: 2019-06
• Subjects: Gastroenterology -- Periodicals; 616.33
• DOI: 10.1136/gutjnl-2019-BSGAbstracts.81
• Languages: English
• ISSNs: 0017-5749

Abstract

Abstract : Introduction: As part of the JAG accreditation process, services are required to provide evidence that they monitor and act upon 30-day mortality (30-DM) and 8-day readmission (8-DR) following endoscopy. This data is currently not analysed or shared in any systematic way other than at unit level. The aim of this study was to gauge current trends across multiple centres, informing further work as part of the ISREE (Improving Safety and Reducing Error in Endoscopy) strategy. Methods: A retrospective analysis of JAG 30-DM and 8-DR evidence from 2013–18 was undertaken. Heterogeneous data was extracted from evidence files and collated to calculate mortality, readmission and procedure rates based on the minimum representative dataset. Causes related to endoscopy were identified through content analysis and grouped into appropriate headings. This study was approved by the JAG research committee. Results: In total, 501 data files were reviewed. Data was provided from 107 units and after exclusions, due to unusable and duplicate data, 51 units were included for analysis. Data covered 16, 719 days of endoscopy and 281, 566 endoscopic procedures. Outcomes from mortality and readmission data are summarised below: Conclusions: This study represents the most recent analysis of self-reported UK-wide data over a 5-year period. Adjusted all-cause mortality rates appear similar to previously published literature. The commonest causes of endoscopy-related mortality and readmission were aspiration pneumonia and abdominal pain respectively. It is important to acknowledge these outcomes with a view to disseminate and share learning to improve future practice. These analyses will inform wider projects in improving safety in endoscopy.