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       #Post#: 78--------------------------------------------------
       Risks involved for early detection of Low risk upper gastrointes
       tinal bleeding
       By: admini5 Date: May 11, 2015, 5:11 am
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       What are the risks involved for early detection of Low risk
       upper gastrointestinal bleeding patients?
       Because all patients not admitted had an outpatient endoscopy
       arranged, we attempted to ensure we did not miss any significant
       pathology.
       Prospective audit of this management plan in Glasgow and
       Stockton revealed that no patients came to harm from this
       approach. As mentioned, patients were discharged with a plan for
       outpatient endoscopy but only 40% attended. Of the patients who
       did not attend for outpatient endoscopy, the individual GPs were
       contacted and the patient’s record examined for evidence of
       adverse consultation behaviour related to GI bleeding or other
       related events. None was identified. It is important to
       emphasise that a protocol be implemented with a strategy to
       offer outpatient endoscopy to the low -risk upper GI haemorrhage
       patient who is not admitted.
       As indicated, recent publications and data from other centres in
       Asia and the USA have concurred that patients with a GBS = 0 are
       suitable for outpatient management due to their extremely low
       risk of requiring hospital-based intervention.
       For further information:
  HTML https://arms.evidence.nhs.uk/resources/qipp/29482/attachment
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