Category: Professional Posters
Purpose: Stress ulcer prophylaxis (SUP) is recommended by international guidelines as a standard of care in critically ill patients with appropriate risk factors for stress ulcers to prevent gastrointestinal bleeding. They state that once risk factors for stress ulcers have resolved SUP can be stopped.
Evidence exists that many risks are associated with the use of acid-suppressants such as increased risks of clostridium difficile and pneumonia.
This study aims to evaluate the appropriateness of current practice in the Mater Misericordiae University Hospital (MMUH) for the continuation of stress ulcer prophylaxis (SUP) in cardiothoracic patients post intensive care unit (ICU) discharge.
Methods: This study is a prospective observational review that involved the development of a data collection tool by the researcher following a discussion with the medical director of critical care in the MMUH to include indications for SUP administration in accordance with the American Society of Health System Pharmacists (ASHP) SUP guidelines and the Surviving Sepsis SUP guidelines. The data collection tool was piloted by the researcher and was then used to evaluate the appropriateness of SUP administration in cardiothoracic patients post ICU discharge.
Results: SUP was inappropriately continued in 88.8% of patients discharged to CTHDU from ICU.
Conclusion: Many cardiothoracic patients in CTHDU post ICU discharge were inappropriately continued on SUP. This highlights the need for initiatives to be introduced to reduce the unjustified continuation of SUP post ICU discharge such as adaption of evidence-based SUP guidelines at ICU discharge and introduction of educational interventions to educate staff on risk factors for stress ulcers and the importance of reviewing patients for same.