Management of patients with decompensated liver cirrhosis within first 24 hours of admission: an audit against BSG–BASL cirrhosis care bundle pathway

摘要

Incidence of liver cirrhosis is rising worldwide. Decompensatedliver cirrhosis (DLC) is associated with 10–20% inpatientmortality. Recognition of conditions and starting an early effectiveintervention can save lives and reduce hospital stay in patientswith DLC. A recent National Confi dential Enquiry into PatientOutcome and Death (NCEPOD) report in 2013 revealed that only47% of patients received good care. Due to that report, British Society of Gastroenterology–BritishAssociation for the Study of the Liver (BSG–BASL) has developedthe ‘Cirrhosis care bundle pathway’ which provides a checklist toensure that all appropriate investigations are undertaken whena patient with DLC presents to the hospital. These investigationsshould be performed ideally within 6 to 24 hours of attendance.