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Patients admitted to the emergency room with upper gastrointestinal bleeding: Factors influencing recurrence or death

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Abstract

The aim of this study was to determine the clinical, laboratory, and endoscopic findings that might be related to poor prognoses, such as rebleeding or death, in patients admitted to the emergency room with upper gastrointestinal (UGI) bleeding. A prospective evaluation was conducted in 99 patients with UGI bleeding who were admitted to the emergency room of Hacettepe University Medical School between May and December 2001. Twenty-four patients were considered to have a poor prognosis. In multivariate analyses, presence of diabetes mellitus or of visible vessel at endoscopy, treatment with proton pump inhibitors, and decrease in mean blood pressure were found to be independent predictors for poor prognoses in this population. Several factors, such as comorbidities, type of treatment, or clinical and endoscopic findings, were found to be related to rebleeding or death in patients admitted to the emergency room with UGI bleeding necessitating intensive care.

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Authors and Affiliations

  1. Department of Emergency Medicine Department of Internal Medicine, Hacettepe University Medical School, Sihhiye, Ankara, Turkey

    Figen Coskun MD

  2. Department of Internal Medicine, Medical Intensive Care Unit, Turkey

    Arzu Topeli MD

  3. Department of Internal Medicine Division of Gastroenterology, Hacettepe University Medical School, Ankara, Turkey

    Bulent Sivri MD

Authors
  1. Figen Coskun MD
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  2. Arzu Topeli MD
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  3. Bulent Sivri MD
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Coskun, F., Topeli, A. & Sivri, B. Patients admitted to the emergency room with upper gastrointestinal bleeding: Factors influencing recurrence or death. Adv Therapy 22, 453–461 (2005). https://doi.org/10.1007/BF02849865

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