Yu Jun Wong, Margaret Teng, Alyssa Sim, Htay Myat Thet, Xuhui Teoh, Marianne Anastasia De Roza, Guan Sen Kew, Jia Hong Koh, Pooi Ling Loi, Kai Lim, Garrett Kang, Jonathan Kuang, En Xian Sarah Low, Jing Liang Ho, Liu Yuan Gabriel Cher, Kenny Sze, Guan Wee Wong, Boon Yew Andrew Kwek, Wei Lyn Yang, Juan G Abraldes, Jason Chang
INTRODUCTION: Acute variceal bleeding (AVB) is a major complication in cirrhosis patients. Using a nationwide AVB audit, we performed a nested cohort study to determine whether full adherence to the AVB quality indicator (QI) improves clinical outcomes in patients with cirrhosis and AVB. METHODS: We assessed real-world adherence to AVB QI among patients with cirrhosis admitted for AVB in all public hospitals in Singapore between January 2015 and December 2020. Full adherence was considered when all five QIs were fulfilled: prophylactic antibiotics, vasoactive agents, timely endoscopy, endoscopic hemostasis during index endoscopy, and nonselective beta-blockers after AVB...
February 20, 2024: Hepatology: Official Journal of the American Association for the Study of Liver Diseases