TPW 7.16 Improving Compliance with Severity Scoring in Acute Pancreatitis: A Two-Cycle Audit
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ID: 324039
2026
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Abstract
Abstract Aims The British Society of Gastroenterology recommends that all patients admitted with acute pancreatitis undergo severity scoring within 48 hours, as this facilitates early risk stratification, guides management, and improves prognostication. Failure to implement this standard may contribute to avoidable morbidity and mortality. Methods Medical records of patients admitted with acute pancreatitis at a District General Hospital were audited. The first cycle reviewed admissions between 23/11/2024 and 09/12/2024 for documentation of severity scoring using the Glasgow Imrie score. Following targeted teaching for resident doctors and the introduction of a process whereby the on-call team ensured scoring for all new admissions, a second cycle was conducted between 23/12/2024 and 10/01/2025. Results In the first cycle, only 2 of 12 patients (16.7%) had a Glasgow Imrie score recorded. Retrospective scoring revealed two patients had a score of ≥3 within 48 hours; one was not escalated until day five, requiring ICU admission for ARDS. After interventions, compliance improved markedly: 9 of 11 patients (81.8%) in the second cycle received severity scoring, and no ICU admissions occurred. Conclusions This audit demonstrates that simple, targeted educational and procedural interventions can substantially improve compliance with national guidelines on severity scoring in acute pancreatitis. Improved adherence ensures earlier identification of severe cases and timely escalation of care, with the potential to reduce complications and improve patient outcomes.
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openalex_W7172497302
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| Authors | Yacoub Majdoubeh, Ahmed Marzouk, Mohamed Elnagar |
| Journal | the british journal of surgery |
| Year | 2026 |
| DOI |
10.1093/bjs/znag087.385
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| URL | |
| Keywords | Keywords not found |
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