Multi-regional comparative audit of blood transfusion in liver cirrhosis

Professor Sir Ian Gilmore - BSG President
Professor Andrew Burroughs - BSG Vice-president Hepatology
Dr Steve Ryder - Chair BSG Liver Section Committee
Dr Vipul Jairath - Research Fellow in Gastroenterology NHS Blood and Transplant Oxford

The BSG will soon be writing to its consultant members to invite them to participate in the multi-regional audit of blood component transfusion in patients with liver cirrhosis, supported by the Regional Transfusion Chairs and teams as well as by the BSG and BASL. It will be open to all hospitals in the English Regions, as well as Scotland, Northern Ireland and Wales.

Patients with liver cirrhosis are heavily transfused but there is very little prospective data on patterns of usage by comparison to guideline standards. This audit will provide a snapshot of current practice which will help to improve patient outcomes by improving professional practice and the general quality of services delivered.

We anticipate and hope that a junior/middle grade doctor in gastroenterology/hepatology will be nominated to co-ordinate and collect much of the data. The aim is to identify and capture every patient with liver cirrhosis admitted to your hospital over a four-week period, regardless of whether or not they receive a blood component transfusion. We are aware that for local reasons, the start date for the audit may need to change slightly, but we would hope many hospitals will start on (or shortly after) 4th February. Patients will be followed up for 4 weeks. We anticipate all data collection at hospitals will finish by Easter.

Each NHS Trust will need to nominate a single clinical lead, ideally a consultant gastroenterologist or hepatologist. Please inform This e-mail address is being protected from spambots. You need JavaScript enabled to view it at the BSG office of your chosen representative and their contact details. Subsequently a username and password will be sent through to allow access to the electronic data collection forms and process guide.

Sample Data Collection Form

A sample of the finalised data collection form is available for download below so that you are able to gain an idea of the scale/type of data required for planning. Those performing the audit may wish to use the paper form to collect data prior to entering it onto the online system.

Further Information