Evidence map›Paper›PMID 32582423›Full record

ArticleFrontline gastroenterology2020

British Society of Gastroenterology (BSG)-led multisociety consensus care bundle for the early clinical management of acute upper gastrointestinal bleeding.

Keith Siau, Sarah Hearnshaw, Adrian J Stanley, Lise Estcourt, Ashraf Rasheed, Andrew Walden, Mo Thoufeeq, Mhairi Donnelly, Russell Drummond, Andrew M Veitch and 2 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Frontline gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06659783 (The First Acute Upper Gastrointestinal Bleeding), which is not on this map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
5.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06659783 completednot on this mapstarted 2024, after this paper: background citation

The First Acute Upper Gastrointestinal Bleeding (AUGIB) Audit in the Greater Bay Area (GBA) of China

Typeobservational_patient_registrySponsorChinese University of Hong KongRan2024 to 2025Enrolled4,534ConditionsAUGIB, Gastrointestinal Bleeding
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Comprehensive review on the current management of upper-GI bleed.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Can drug-induced platelet dysfunction be reversed?Research and practice in thrombosis and haemostasis · 2026
    Review
  9. Article
  10. Article
  11. Management of acute decompensated cirrhosis.Clinical medicine (London, England) · 2025
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 2 countries.

Keith SiauJoint Advisory Group on Gastrointestinal Endoscopy, Royal College of Physicians, London, UK.ORCID 0000-0002-1273-9561
Sarah HearnshawDepartment of Gastroenterology, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK.
Adrian J StanleyDepartment of Gastroenterology, Glasgow Royal Infirmary, Glasgow, UK.
Lise EstcourtNHS Blood and Transplant, Oxford, Hertfordshire, UK.
Ashraf RasheedAssociation of Upper Gastrointestinal Surgeons of Great Britain and Ireland, London, UK.
Andrew WaldenSociety for Acute Medicine, London, UK.
Mo ThoufeeqEndoscopy Unit, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Mhairi DonnellyDepartment of Gastroenterology, Glasgow Royal Infirmary, Glasgow, UK.
Russell DrummondDepartment of Gastroenterology, Glasgow Royal Infirmary, Glasgow, UK.
Andrew M VeitchDepartment of Gastroenterology, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK.
Sauid IshaqEndoscopy Unit, Dudley Group NHS Foundation Trust, Dudley, West Midlands, UK.
Allan John MorrisDepartment of Gastroenterology, Glasgow Royal Infirmary, Glasgow, UK.
Glasgow Royal Infirmary · GBBirmingham City University · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBNHS Blood and Transplant · GBRoyal Berkshire NHS Foundation Trust · GBRoyal Gwent Hospital · GBSheffield Teaching Hospitals NHS Foundation Trust · GBThe Royal Wolverhampton NHS Trust · GBUniversity of Dental Medicine · MM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medical care bundles improve standards of care and patient outcomes. Acute upper gastrointestinal bleeding (AUGIB) is a common medical emergency which has been consistently associated with suboptimal care. We aimed to develop a multisociety care bundle centred on the early management of AUGIB. Commissioned by the British Society of Gastroenterology (BSG), a UK multisociety task force was assembled to produce an evidence-based and consensus-based care bundle detailing key interventions to be performed within 24 hours of presentation with AUGIB. A modified Delphi process was conducted with stakeholder representation from BSG, Association of Upper Gastrointestinal Surgeons, Society for Acute Medicine and the National Blood Transfusion Service of the UK. A formal literature search was conducted and international AUGIB guidelines reviewed. Evidence was appraised using the Grading of Recommendations, Assessment, Development and Evaluation tool and statements were formulated and subjected to anonymous electronic voting to achieve consensus. Accepted statements were eligible for incorporation into the final bundle after a separate round of voting. The final version of the care bundle was reviewed by the BSG Clinical Services and Standards Committee and approved by all stakeholder groups. Consensus was reached on 19 statements; these culminated in 14 corresponding care bundle items, contained within 6 management domains: Recognition, Resuscitation, Risk assessment, Rx (Treatment), Refer and Review. A multisociety care bundle for AUGIB has been developed to facilitate timely delivery of evidence-based interventions and drive quality improvement and patient outcomes in AUGIB.

Indexed as

gastrointestinal bleeding

Identifiers

PMID32582423
PMCPMC7307267
OpenAlexW3013642168

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.