Acute Bowel Obstruction

This study has been commissioned by Healthcare Quality Improvement Partnership
as part of the Clinical Outcome Review Programme into Medical & Surgical care, as part of the current contract awarded in 2015
For information on how we use data click here

Data collection for study: July 2018- June 2019 (Data collection now closed)
Publication date:        Early 2020

Aim: To identify remedial factors in process of care of patients with both large and small intestinal obstruction.

Objectives:

Clinical:

To identify and assess the care delivered to patients presenting with acute bowel obstruction at all points in the pathway including:

 
• Emergency admission factors
• Initial assessment and diagnosis
• Admission to the ward
• Treatment plans
• Imaging
• Decision making
• Non-surgical therapy
• Nutrition
• Surgery
• Post-operative care
• Discharge and follow up arrangement
• End of life care

Organisational:

To examine organisational aspects of care including:

• Access to services
• Staffing
• The use of local and national guidelines and protocols
• Networks of care
• Communication
• Audit/governance

Study population:

Patients aged 16 and over who had a bowel obstruction and were admitted to hospital between 16th April to 13th May 2018.
Patients will be identified using the following ICD10 codes for acute bowel obstruction. Patient were identified using the follwoing ICD10 codes for acute bowel obstruction.

• K56.1 Intussusception
• K56.2 Volvulus
• K56.3 Gallstone ileus
• K56.4 Other impaction of intestine
• K56.5 Intestinal adhesions [bands] with obstruction
• K56.6 Other and unspecified intestinal obstruction
• K40.0 Bilateral inguinal hernia, with obstruction, without gangrene
• K40.1 Bilateral inguinal hernia, with gangrene
• K40.3 Unilateral or unspecified inguinal hernia, with obstruction, without gangrene
• K40.4 Unilateral or unspecified inguinal hernia, with gangrene
• K41.0 Bilateral femoral hernia, with obstruction, without gangrene
• K41.1 Bilateral femoral hernia, with gangrene
• K41.3 Unilateral or unspecified femoral hernia, with obstruction, without gangrene
• K41.4 Unilateral or unspecified femoral hernia, with gangrene
• K42.0 Umbilical hernia with obstruction, without gangrene
• K42.1 Umbilical hernia with gangrene
• K43.0 Ventral hernia with obstruction, without gangrene
• K43.1 Ventral hernia with gangrene
• K44.0 Diaphragmatic hernia with obstruction, without gangrene
• K44.1 Diaphragmatic hernia with gangrene
• K45.0 Other specified abdominal hernia with obstruction, without gangrene
• K45.1 Other specified abdominal hernia with gangrene
• K46.0 Unspecified abdominal hernia with obstruction, without gangrene
• K46.1 Unspecified abdominal hernia with gangrene

Data collection:

Study protocol:

Clinical questionnaires:
These are being disseminated electronically.
A PDF copy of the questionnaire can be downloaded from the Download Links section on the right. However, please note that this is for information only; questionnaires should be completed using the online system

Please click here for a list of study definitions.

Further questions about the study may be directed to:bowelobstruction@ncepod.org.uk