ThTP7.3 Do patients receive written information? An overview of the management of acute uncomplicated diverticulitis

Background

The management of acute uncomplicated diverticulitis was audited in compliance with NICE, the World of Society of Emergency Surgery and the Association of Coloproctology of Great Britain and Ireland guidelines. Included was the advice for appropriate written information. The initial cycle found no consistency in written advice if given at all.

This audit analysed the compliance of providing written information to patients with acute diverticulitis. Following the initial cycle identifying significant discrepancies between patients, a secondary aim was formed to publish a standardised patient information leaflet.

Method

50 consecutive patients presenting to A&E with CT-proven uncomplicated acute diverticulitis were included. If any, advice on discharge was assessed for topics and consistency. Other factors were considered including if discharged directly from A&E or antibiotic administration.

Results

The mean age of patients was 58.4 years. 30 patients were admitted, 20 were discharged from A&E. 41 patients received antibiotics. All patients were Modified Hinchey Classification 1a or 1b.

21 patients had no documented written advice on discharge. Most commonly, the advice given was to seek medical attention or return to hospital if increasingly unwell (eight) or dietary advice while in acute infection (12).

Conclusion

Almost half of patients had no written advice and there was no consistency in the other half. A standardised approach was required hence the need for the patient information leaflet to be created. This includes all topics recommended by guidelines and ensures no information is missed for patients. The leaflet is now published.