Current Practice of Stress Ulcer Prophylaxis in Surgical Departments in Mecklenburg Western Pomerania, Germany

Background: Despite the growing concern over its potentially severe side effects and considerable economic burden, stress ulcer prophylaxis (SUP) is still frequently prescribed to patients in medical non-intensive care units. Recent data indicate that the situation is similar in surgical departments...

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Autores principales:	Julia Rauch, Marco Franze, Maciej Patrzyk, Claus-Dieter Heidecke, Tobias Schulze
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	stress ulcer acid suppressive therapy perioperative care stress ulcer prophylaxis Medicine R
Acceso en línea:	https://doaj.org/article/6a4e39e4791f4cdc924374ee542d4788
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spelling	oai:doaj.org-article:6a4e39e4791f4cdc924374ee542d47882021-11-25T17:44:46ZCurrent Practice of Stress Ulcer Prophylaxis in Surgical Departments in Mecklenburg Western Pomerania, Germany10.3390/healthcare91114902227-9032https://doaj.org/article/6a4e39e4791f4cdc924374ee542d47882021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1490https://doaj.org/toc/2227-9032Background: Despite the growing concern over its potentially severe side effects and considerable economic burden, stress ulcer prophylaxis (SUP) is still frequently prescribed to patients in medical non-intensive care units. Recent data indicate that the situation is similar in surgical departments. Currently, data on the concepts within and regulation of routine SUP practice in surgical departments are sparse. The present study was designed to examine the current practice of SUP in Mecklenburg West Pomerania, Germany, and to identify possible reasons for the dissociation of medical literature and clinical practice. Methods: A questionnaire-based survey was conducted to elucidate current SUP practices in surgical departments of acute care hospitals in Mecklenburg Western Pomerania, Germany. Results: In most surgical departments (68%), a standard operating procedure (SOP) for SUP had not been developed. In departments with an existing SOP, 47.6% of responding medical staff members (MSM) with prescribing authority did not know of its existence. Of the MSMs aware of the existence of an SUP-SOP, only 42.9% indicated that they were familiar with its content. Critical re-evaluation of SUP indications upon transfer from the intensive care unit (ICU) to the general hospital ward (GHW) and before hospital discharge was performed frequently or systematically by only about half of the responding MSMs. Discussion: In the face of continued massive over-prescription of SUP in the perioperative routine, the development of easy-to-use local guidelines and their strict implementation in the clinical routine, as well as intensified medial education on this subject, may be effective tools to reduce acid-suppressive medication (ASM) associated side effects and economic burden.Julia RauchMarco FranzeMaciej PatrzykClaus-Dieter HeideckeTobias SchulzeMDPI AGarticlestress ulceracid suppressive therapyperioperative carestress ulcer prophylaxisMedicineRENHealthcare, Vol 9, Iss 1490, p 1490 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	stress ulcer acid suppressive therapy perioperative care stress ulcer prophylaxis Medicine R
spellingShingle	stress ulcer acid suppressive therapy perioperative care stress ulcer prophylaxis Medicine R Julia Rauch Marco Franze Maciej Patrzyk Claus-Dieter Heidecke Tobias Schulze Current Practice of Stress Ulcer Prophylaxis in Surgical Departments in Mecklenburg Western Pomerania, Germany
description	Background: Despite the growing concern over its potentially severe side effects and considerable economic burden, stress ulcer prophylaxis (SUP) is still frequently prescribed to patients in medical non-intensive care units. Recent data indicate that the situation is similar in surgical departments. Currently, data on the concepts within and regulation of routine SUP practice in surgical departments are sparse. The present study was designed to examine the current practice of SUP in Mecklenburg West Pomerania, Germany, and to identify possible reasons for the dissociation of medical literature and clinical practice. Methods: A questionnaire-based survey was conducted to elucidate current SUP practices in surgical departments of acute care hospitals in Mecklenburg Western Pomerania, Germany. Results: In most surgical departments (68%), a standard operating procedure (SOP) for SUP had not been developed. In departments with an existing SOP, 47.6% of responding medical staff members (MSM) with prescribing authority did not know of its existence. Of the MSMs aware of the existence of an SUP-SOP, only 42.9% indicated that they were familiar with its content. Critical re-evaluation of SUP indications upon transfer from the intensive care unit (ICU) to the general hospital ward (GHW) and before hospital discharge was performed frequently or systematically by only about half of the responding MSMs. Discussion: In the face of continued massive over-prescription of SUP in the perioperative routine, the development of easy-to-use local guidelines and their strict implementation in the clinical routine, as well as intensified medial education on this subject, may be effective tools to reduce acid-suppressive medication (ASM) associated side effects and economic burden.
format	article
author	Julia Rauch Marco Franze Maciej Patrzyk Claus-Dieter Heidecke Tobias Schulze
author_facet	Julia Rauch Marco Franze Maciej Patrzyk Claus-Dieter Heidecke Tobias Schulze
author_sort	Julia Rauch
title	Current Practice of Stress Ulcer Prophylaxis in Surgical Departments in Mecklenburg Western Pomerania, Germany
title_short	Current Practice of Stress Ulcer Prophylaxis in Surgical Departments in Mecklenburg Western Pomerania, Germany
title_full	Current Practice of Stress Ulcer Prophylaxis in Surgical Departments in Mecklenburg Western Pomerania, Germany
title_fullStr	Current Practice of Stress Ulcer Prophylaxis in Surgical Departments in Mecklenburg Western Pomerania, Germany
title_full_unstemmed	Current Practice of Stress Ulcer Prophylaxis in Surgical Departments in Mecklenburg Western Pomerania, Germany
title_sort	current practice of stress ulcer prophylaxis in surgical departments in mecklenburg western pomerania, germany
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/6a4e39e4791f4cdc924374ee542d4788
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Current Practice of Stress Ulcer Prophylaxis in Surgical Departments in Mecklenburg Western Pomerania, Germany

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