Adherence to guideline-recommended management in acute severe ulcerative colitis: a retrospective audit.

Among 530 encounters reviewed, 35 patients met inclusion criteria, accounting for 56 admissions.

Gastroenterology consultation occurred in 98% of admissions, whereas colorectal surgery consultation occurred in 30%.

Intravenous steroid failure occurred in 18%, colectomy in 16%, and 30-day readmission in 23%.

Following guideline publication, venous thromboembolism prophylaxis increased from 25% to 75% ( P = 0.001) and cytomegalovirus screening from 14% to 60% ( P = 0.001).