Dr Lim and colleagues from England evaluated the 30-day mortality after endoscopy for suspected upper gastrointestinal (GI) bleed.
The researchers evaluated outcomes following the implementation of national audit guidelines.
The research team assessed all patients with suspected upper gastrointestinal bleeding referred for endoscopy at their hospital between 2001 and 2003.
A total of 716 patients with suspected upper gastrointestinal tract hemorrhage were referred for urgent endoscopy.
The team noted that the median age was 69 years.
Bleeding from peptic ulcer remained the single most common endoscopic diagnosis in 40% of patients.
The researchers found that the overall re-bleeding rate for all patients with a gastrointestinal hemorrhage was 10%.
|The overall 30-day mortality rate was 15%|
The overall 30-day mortality rate was 15%.
The team observed that this was not significantly different from the mortality rate in 1995 of 11%.
Patients who died were significantly older.
The researchers found gastrointestinal hemorrhage stated in the death certificate as a factor contributing to death in only 29% of patients.
Dr Lim's team commented, “These results show that implementing the good practice guideline has a limited impact on overall mortality because of contributing factors that are beyond the control of clinicians.”