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  1. 1. Institute of Applied Health Sciences University of Aberdeen DATABASE REVIEW Gastroenterology Unit Aberdeen Royal Infirmary GASTROINTESTINAL BLEEDING DATABASEGastrointestinal Bleeding Database November 2001 DATABASE CODE: GIB Page 1
  2. 2. Institute of Applied Health Sciences University of AberdeenContentsContents.................................................................................................................................................2Introduction..........................................................................................................................................3 History .................................................................................................................................................................3 Overview of Database...........................................................................................................................................3Database Structure...............................................................................................................................4Main Table Summary...........................................................................................................................5 First3years - Patient Details October 1991 to October 1994................................................................................5 4th Year - Details for October 1994 to April 1996...............................................................................................5 Main Data - Details for May 1996 Onwards........................................................................................................6Associated Publications........................................................................................................................8Gastrointestinal Bleeding Database November 2001 DATABASE CODE: GIB Page 2
  3. 3. Institute of Applied Health Sciences University of AberdeenIntroductionHistoryThe Gastrointestinal Bleeding Unit was opened in 1991 aiming to reduce mortality, morbidity andhospital stay for gastrointestinal haemorrhage patients. 30-day mortality rates for both uppergastrointestinal and colonic bleeding in North East Scotland can be calculated from informationrecorded on a database developed in Microsoft Access, which holds data on patients admitted to thegastrointestinal bleeding unit over the last 8 years with suspected upper or lower gastrointestinalhaemorrhage.Overview of DatabaseGastrointestinal bleeding data is held on an ACCESS relational database on a PC, within theGastroenterology Unit at Aberdeen Royal Infirmary.The database is accessed via security passwordsand is continually updated with new information andwill be developed to monitor vital status.Information on approximately 7,000 patients is held on the research database across 3 record typeswhich are detailed in the Main Table Definitions Section. Each record type corresponds to datacollected for three different periods : Table Period Covered First 3 Years October 1991 to September 1994 4th Year October 1994 to April 1996 Main Data May 1996 to Current DateGastrointestinal Bleeding Database November 2001 DATABASE CODE: GIB Page 3
  4. 4. Institute of Applied Health Sciences University of AberdeenDatabase Structure OCTOBER 91 - SEPTEMBER 92 UNIT NO OCTOBER 94 - APRIL 96 UNIT NO MAY 96 ONWARDSGastrointestinal Bleeding Database November 2001 DATABASE CODE: GIB Page 4
  5. 5. Institute of Applied Health Sciences University of AberdeenMain Table SummaryFirst3years - Patient Details October 1991 to October 1994• Patient Identification, Sex and Age at Admission• Date and Time of Admission• Time to Endoscopy• Length of Stay in Bleeding Unit / Hospital• Bleeding Unit Diagnosis• Concurrent Illness• Alcohol Consumption• Prescribed Drugs• Smoking Status• Gastric Ulcer / Duodenal Ulcer / Oesophagitis History• Portal Hypertension• Previous Surgery• Bleeding Status• Stigmata of Recent Haemorrhage• Blood Required / Recurrence of Bleeding• Discharge Date• Mortality Data / Date of Death4th Year - Details for October 1994 to April 1996• Patient Identification, Sex and Age at Admission• Date and Time of Admission• Length of Stay in Bleeding Unit• Source of Admission• Haematemesis Data• Melaena• Abdominal Pain• Weight Loss• Vomitting• Diarrhoea• Drug Details• Smoking Status• Alcohol Consumption / AbuseGastrointestinal Bleeding Database November 2001 DATABASE CODE: GIB Page 5
  6. 6. Institute of Applied Health Sciences University of Aberdeen• Gastric Ulcer / Duodenal Ulcer / Oesophagitis / Gastrointestinal Bleeding History• Portal Hypertension• Previous Surgery• Concurrent Illness• Shock on Admission• Haemoglobin Count / Blood Group• Blood Pressure• Initial Urea• Initial Pulse• Prothrombin Time• Liver Function Tests• Rheumatology• Endoscopic Diagnosis• Bleeding Status• Stigmata of Recent Haemorrhage• Blood Required / Recurrence of Bleeding• Endoscopic / Surgical Treatment• Discharge Outcome / Bleeding Unit Diagnosis• Total Hospital Stay• Readmission Details• Transfusion Details• Colonoscopy / Sigmoidoscopy / Barium Enema• Angiogram• Surgery / Type of Operation / Surgeon• Hospital Diagnosis• Mortality Data / Date of DeathMain Data - Details for May 1996 Onwards• Patient Identification, Sex and Age at Admission• Date and Time of Admission• Length of Stay in Bleeding Unit• Source of Admission• Haematemesis Data• MelaenaGastrointestinal Bleeding Database November 2001 DATABASE CODE: GIB Page 6
  7. 7. Institute of Applied Health Sciences University of Aberdeen• Abdominal Pain• Weight Loss• Vomitting• Diarrhoea• Collapse• Drug Details• Smoking Status• Alcohol Consumption / Abuse• Gastric Ulcer / Duodenal Ulcer / Oesophagitis History• Gastrointestinal Bleeding / Varices History• Co-Morbid Disease• Recent Operations• Blood Pressure / Pulse• Faecal Occult Blood• Initial Haemoglobin Count / Urea• Date of Rebleed / Units of Blood Given• Endoscopic Treatment• Colonoscopy / Sigmoidoscopy / Barium Enema• Angiogram• Ultrasound Scan• Small Bowel X-Ray• Site of Bleed• Date and Time of Discharge / Location / Outcome• Cause of Bleed Diagnoses• Date of DeathGastrointestinal Bleeding Database November 2001 DATABASE CODE: GIB Page 7
  8. 8. Institute of Applied Health Sciences University of AberdeenAssociated PublicationsFraser A, Masson J, Bramley P, McKnight G, Mowat NAG.Mallory-Weiss revisited. Gut 1995; 36(suppl 1):A13. Presented to the British Society OfGastroenterology April 1995. Presented to the Caledonian Society of Gastroenterology. February1995 and to the Association of Physicians of Great Britain and Ireland. March 1995:Masson J, Bramley P, Fraser A, Brunt PW, McKinlay AW, Sinclair TS, Mowat NAG. A ControlledStudy of Adrenaline Injection in Peptic Ulcer Bleeding Within a Specialised Unit.Gut 1995;37(suppl 2) T147. Presented to the British Society Of Gastroenterology September 1995.Gastroenterology 1996;110 (4) A189. Presented to the American Gastroenterology Association May1996.Masson J, Fraser A, Mowat NAG. Fifty years experience of Gastrointestinal Bleeding in North-eastScotland. Gut 1996;39(suppl 3 ) A232. Presented to the United European Gastroenterology WeekNovember 1996.Masson J, Bramley PN, Herd K, McKnight GM, Park K, Brunt PW, McKinlay AW, Sinclair TS,Mowat NA.Upper gastrointestinal bleeding in an open-access dedicated unit.J Roy. Coll. Phys. London 1996; 30(5):436-442Bramley PN, Masson JW, McKnight G, Herd K, Fraser A, Park K, Brunt PW, McKilay A, SinclairTS, Mowat NA.The role of an open-access bleeding unit in the management of colonic haemorrhage. A 2-yearprospective study.Scan J Gastroenterology 1996; 31(8): 764-769Bramley PN, Masson JW, McKnight GM, Herd K, Fraser A, Park K, Brunt PW, McKinlay AW,Sinclair TS, Mowat NAG. The role of An Open-Access Bleeding Unit in the Management of ColonicHaemorrhage. A two year prospective study. Scand J Gastroenterol. 1996;31(8):764-9Fraser A, Masson J, Bramley P, McKnight G, Buckner L Smith WC, Mowat NAG. Long termsurvival after peptic ulcer haemorrhage - a community study. Presented to the Caledonian Society ofGastroenterology June 1996.Fraser A, Masson J, Phull PS, McKnight G, Mowat NAG. Extensive Oesophageal IntramuralHaematoma. Gut 1997; 41(suppl 3) E60 / Endoscopy 1997; 29 (7) E60. Presented to the 6th UnitedEuropean Gastroenterology Week October 1997.Presented to the Caledonian Society, Newcastle. June 1997.Fraser A, Masson J, Bramley P, McKnight G, Buckner L Smith WC, Mowat NAG. Long termsurvival, symptoms and drug use after peptic ulcer haemorrhage. Gut 1997; 40(suppl 1) A8.Presented to the British Society of Gastroenterology March 1997.Fraser A, Masson J, Phull PS, McKnight GM, Mowat NAG.Extensive intramural haematoma of the oesophagus.Gastroenterology 1997; 112(4) Suppl.: A119Fraser A, Masson J, Buckner L, McKnight G, Bramley P, Smith WC, Mowat NAG.Long-term survival, symptoms and drug use after peptic ulcer haemorrhage.Gut 1997; 40(1) Suppl 1: A8Gastrointestinal Bleeding Database November 2001 DATABASE CODE: GIB Page 8
  9. 9. Institute of Applied Health Sciences University of AberdeenFraser A, Masson J, Mowat NAG. Cause of Bleeding Not Found - Does it Matter? Gut 1998; 42(suppl 1) A6. Presented to British Society of Gastroenterology 1998.Phull PS, Fraser A, Masson J, Mowat NAG. Incidence of Haemorrhage from Dieulafoys Lesion inNorth-East Scotland. Gut 1998; 42 (suppl 1) A70. Presented to British Society of Gastroenterology1998.Khan M, Masson J, Fraser A, Park KGM, Mowat NAG. The Impact of a High Dependency BleedingUnit on Surgical Outcome in Patients with Bleeding Peptic Ulcer. Br. J. Surg. 1998; 85 (suppl 1) 31.Presented to British Association of Surgeons.Gastrointestinal Bleeding Database November 2001 DATABASE CODE: GIB Page 9

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