Institute of Applied Health Sciences
University of Aberdeen
DATABASE REVIEW
Gastroenterology Unit
Aberdeen Royal Infirmary
GASTROINTESTINAL BLEEDING
DATABASE
Gastrointestinal Bleeding Database
November 2001
DATABASE CODE: GIB
Page 1
Institute of Applied Health Sciences
University of Aberdeen
Contents
Contents
2
Introduction
3
History
3
Overview of Database
3
Database Structure
4
Main Table Summary
5
First3years - Patient Details October 1991 to October 1994
th
5
4 Year - Details for October 1994 to April 1996
5
Main Data - Details for May 1996 Onwards
6
Associated Publications
8
Gastrointestinal Bleeding Database
November 2001
DATABASE CODE: GIB
Page 2
Institute of Applied Health Sciences
University of Aberdeen
Introduction
History
The Gastrointestinal Bleeding Unit was opened in 1991 aiming to reduce mortality, morbidity and
hospital stay for gastrointestinal haemorrhage patients. 30-day mortality rates for both upper
gastrointestinal and colonic bleeding in North East Scotland can be calculated from information
recorded on a database developed in Microsoft Access, which holds data on patients admitted to the
gastrointestinal bleeding unit over the last 8 years with suspected upper or lower gastrointestinal
haemorrhage.
Overview of Database
Gastrointestinal bleeding data is held on an ACCESS relational database on a PC,
Gastroenterology Unit at Aberdeen Royal Infirmary.
within the
The database is accessed via security passwordsand is continually updated with new information and
will be developed to monitor vital status.
Information on approximately 7,000 patients is held on the research database across 3 record types
which are detailed in the Main Table Definitions Section. Each record type corresponds to data
collected for three different periods :
Table
First 3 Years
4th Year
Main Data
Period Covered
October 1991 to September 1994
October 1994 to April 1996
May 1996 to Current Date
Gastrointestinal Bleeding Database
November 2001
DATABASE CODE: GIB
Page 3
Institute of Applied Health Sciences
University of Aberdeen
Database Structure
OCTOBER 91
SEPTEMBER 92
UNIT
NO
OCTOBER 94
APRIL 96
UNIT
NO
MAY 96
ONWARDS
Gastrointestinal Bleeding Database
November 2001
DATABASE CODE: GIB
Page 4
Institute of Applied Health Sciences
University of Aberdeen
Main Table Summary
First3years - 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 Death
4th 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 / Abuse
Gastrointestinal Bleeding Database
November 2001
DATABASE CODE: GIB
Page 5
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 Death
Main 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

Melaena

Abdominal Pain
Gastrointestinal Bleeding Database
November 2001
DATABASE CODE: GIB
Page 6
Institute of Applied Health Sciences
University of Aberdeen

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 Death
Gastrointestinal Bleeding Database
November 2001
DATABASE CODE: GIB
Page 7
Institute of Applied Health Sciences
University of Aberdeen
Associated Publications
Fraser A, Masson J, Bramley P, McKnight G, Mowat NAG.
Mallory-Weiss revisited. Gut 1995; 36(suppl 1):A13. Presented to the British Society Of
Gastroenterology April 1995. Presented to the Caledonian Society of Gastroenterology. February
1995 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 Controlled
Study 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 May
1996.
Masson J, Fraser A, Mowat NAG. Fifty years experience of Gastrointestinal Bleeding in North-east
Scotland. Gut 1996;39(suppl 3 ) A232. Presented to the United European Gastroenterology Week
November 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):436-442
Bramley PN, Masson JW, McKnight G, Herd K, Fraser A, Park K, Brunt PW, McKilay A, Sinclair
TS, Mowat NA.
The role of an open-access bleeding unit in the management of colonic haemorrhage. A 2-year
prospective study.
Scan J Gastroenterology 1996; 31(8): 764-769
Bramley 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 Colonic
Haemorrhage. A two year prospective study. Scand J Gastroenterol. 1996;31(8):764-9
Fraser A, Masson J, Bramley P, McKnight G, Buckner L Smith WC, Mowat NAG. Long term
survival after peptic ulcer haemorrhage - a community study. Presented to the Caledonian Society of
Gastroenterology June 1996.
Fraser A, Masson J, Phull PS, McKnight G, Mowat NAG. Extensive Oesophageal Intramural
Haematoma. Gut 1997; 41(suppl 3) E60 / Endoscopy 1997; 29 (7) E60. Presented to the 6th United
European 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 term
survival, 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.: A119
Fraser 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: A8
Gastrointestinal Bleeding Database
November 2001
DATABASE CODE: GIB
Page 8
Institute of Applied Health Sciences
University of Aberdeen
Fraser 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 Dieulafoy's Lesion in
North-East Scotland. Gut 1998; 42 (suppl 1) A70. Presented to British Society of Gastroenterology
1998.
Khan M, Masson J, Fraser A, Park KGM, Mowat NAG. The Impact of a High Dependency Bleeding
Unit 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
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