@article{21105,
  author = {Gattas D. and Webb S. and Young P. and Beasley R. and Bellomo R. and Bailey M. and Sexna A and Litton E. and Eastwood G. and Forbes A. and Pilcher D. and McGuinness S. and McArthur C.},
  title = {A multicentre feasibility study evaluating stress ulcer prophylaxis using hospital-based registry data},
  abstract = {<p>
BACKGROUND: It is unclear whether histamine-2 receptor blockers (H2RBs) or proton pump inhibitors (PPIs) are preferred for stress ulcer prophylaxis (SUP) in intensive care unit patients. Suitably powered comparative effectiveness trials are warranted. OBJECTIVE: To establish the feasibility of collecting process-of-care and outcome data relevant to a proposed interventional trial of SUP using existing databases. DESIGN, SETTING AND PARTICIPANTS: A retrospective cohort study conducted in seven Australia and New Zealand tertiary ICUs, including all patients &gt;/=18 years admitted between 1 January 2011 and 31 December 2012. MAIN OUTCOME MEASURES: Doses of dispensed PPIs and H2RBs, upper gastrointestinal bleeding events, upper respiratory tract colonisation with pathogenic bacteria, Clostridium difficile infections and inhospital mortality. RESULTS: All sites were able to contribute to the study and investigators reported that data were generally easy to obtain. A median dose/ICU of 477 g of PPIs (interquartile range [IQR], 430.5-865 g), and 408.5 g (IQR, 109-1630.2 g) of H2RBs, were dispensed over the 2 years of the study. The median proportion of patients/ICU with upper GI bleeding complicating admission was 1.4% (IQR, 0.3%-1.8%). Colonisation of the respiratory tract with gram-negative bacteria occurred in a median of 7.1% of patients/ICU (IQR, 6.3%-14.1%). Pseudomembranous colitis occurred in hospital in a median of 1.4% of patients (IQR, 0.9%-2%) and inhospital mortality was 10.6% (95% CI, 9.5%- 11.7%). CONCLUSIONS: It is feasible to use existing data sources to measure process-of-care and outcome data necessary for a registry-based interventional trial of SUP.
</p>
},
  year = {2014},
  journal = {Critical Care and Resuscitation},
  volume = {16},
  edition = {2014/08/28},
  number = {3},
  pages = {158-63},
  month = {-8019460502},
  isbn = {1441-2772 (Print)<br/>1441-2772 (Linking)},
  note = {Litton, Edward<br/>Eastwood, Glenn M<br/>Bellomo, Rinaldo<br/>Beasley, Richard<br/>Bailey, Michael J<br/>Forbes, Andrew B<br/>Gattas, David J<br/>Pilcher, David V<br/>Webb, Steven A R<br/>McGuinness, Shay P<br/>Saxena, Manoj K<br/>McArthur, Colin J<br/>Young, Paul J<br/>Australia<br/>Crit Care Resusc. 2014 Sep;16(3):158-63.},
  language = {eng},
}