Is Gastrointestinal Bleeding a Problem for COVID-19 Intensive Care Unit Patients?

Autor:	Negro A; Alessandra Negro, RN, is Nursing, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Giulia Villa, PhD, MSN, RN, is Assistant Professor, Center for Nursing Research and Innovation, Vita-Salute San Raffaele University, Milan, Italy.; Matteo Cardinali, MScN, RN, is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Nicola Gianelle, RN; is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Roberta Ranzani, RN; is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Stefano Rolandi, MScN, RN, is Nurse Manager, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Nicolò Maimeri, MD, is Anesthesiologist Resident, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Alberto Zangrillo, MD, is Full Professor, IRCCS San Raffaele Scientific Institute, Milan, Italy; Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, Milan, Italy., Villa G; Alessandra Negro, RN, is Nursing, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Giulia Villa, PhD, MSN, RN, is Assistant Professor, Center for Nursing Research and Innovation, Vita-Salute San Raffaele University, Milan, Italy.; Matteo Cardinali, MScN, RN, is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Nicola Gianelle, RN; is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Roberta Ranzani, RN; is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Stefano Rolandi, MScN, RN, is Nurse Manager, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Nicolò Maimeri, MD, is Anesthesiologist Resident, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Alberto Zangrillo, MD, is Full Professor, IRCCS San Raffaele Scientific Institute, Milan, Italy; Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, Milan, Italy., Cardinali M; Alessandra Negro, RN, is Nursing, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Giulia Villa, PhD, MSN, RN, is Assistant Professor, Center for Nursing Research and Innovation, Vita-Salute San Raffaele University, Milan, Italy.; Matteo Cardinali, MScN, RN, is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Nicola Gianelle, RN; is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Roberta Ranzani, RN; is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Stefano Rolandi, MScN, RN, is Nurse Manager, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Nicolò Maimeri, MD, is Anesthesiologist Resident, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Alberto Zangrillo, MD, is Full Professor, IRCCS San Raffaele Scientific Institute, Milan, Italy; Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, Milan, Italy., Gianelle N; Alessandra Negro, RN, is Nursing, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Giulia Villa, PhD, MSN, RN, is Assistant Professor, Center for Nursing Research and Innovation, Vita-Salute San Raffaele University, Milan, Italy.; Matteo Cardinali, MScN, RN, is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Nicola Gianelle, RN; is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Roberta Ranzani, RN; is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Stefano Rolandi, MScN, RN, is Nurse Manager, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Nicolò Maimeri, MD, is Anesthesiologist Resident, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Alberto Zangrillo, MD, is Full Professor, IRCCS San Raffaele Scientific Institute, Milan, Italy; Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, Milan, Italy., Ranzani R; Alessandra Negro, RN, is Nursing, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Giulia Villa, PhD, MSN, RN, is Assistant Professor, Center for Nursing Research and Innovation, Vita-Salute San Raffaele University, Milan, Italy.; Matteo Cardinali, MScN, RN, is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Nicola Gianelle, RN; is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Roberta Ranzani, RN; is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Stefano Rolandi, MScN, RN, is Nurse Manager, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Nicolò Maimeri, MD, is Anesthesiologist Resident, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Alberto Zangrillo, MD, is Full Professor, IRCCS San Raffaele Scientific Institute, Milan, Italy; Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, Milan, Italy., Rolandi S; Alessandra Negro, RN, is Nursing, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Giulia Villa, PhD, MSN, RN, is Assistant Professor, Center for Nursing Research and Innovation, Vita-Salute San Raffaele University, Milan, Italy.; Matteo Cardinali, MScN, RN, is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Nicola Gianelle, RN; is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Roberta Ranzani, RN; is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Stefano Rolandi, MScN, RN, is Nurse Manager, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Nicolò Maimeri, MD, is Anesthesiologist Resident, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Alberto Zangrillo, MD, is Full Professor, IRCCS San Raffaele Scientific Institute, Milan, Italy; Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, Milan, Italy., Maimeri N; Alessandra Negro, RN, is Nursing, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Giulia Villa, PhD, MSN, RN, is Assistant Professor, Center for Nursing Research and Innovation, Vita-Salute San Raffaele University, Milan, Italy.; Matteo Cardinali, MScN, RN, is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Nicola Gianelle, RN; is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Roberta Ranzani, RN; is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Stefano Rolandi, MScN, RN, is Nurse Manager, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Nicolò Maimeri, MD, is Anesthesiologist Resident, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Alberto Zangrillo, MD, is Full Professor, IRCCS San Raffaele Scientific Institute, Milan, Italy; Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, Milan, Italy., Zangrillo A; Alessandra Negro, RN, is Nursing, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Giulia Villa, PhD, MSN, RN, is Assistant Professor, Center for Nursing Research and Innovation, Vita-Salute San Raffaele University, Milan, Italy.; Matteo Cardinali, MScN, RN, is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Nicola Gianelle, RN; is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Roberta Ranzani, RN; is Critical Care Nurse, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Stefano Rolandi, MScN, RN, is Nurse Manager, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Nicolò Maimeri, MD, is Anesthesiologist Resident, IRCCS San Raffaele Scientific Institute, Milan, Italy.; Alberto Zangrillo, MD, is Full Professor, IRCCS San Raffaele Scientific Institute, Milan, Italy; Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, Milan, Italy.
Jazyk:	angličtina
Zdroj:	Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates [Gastroenterol Nurs] 2023 May-Jun 01; Vol. 46 (3), pp. 225-231. Date of Electronic Publication: 2023 Apr 11.
DOI:	10.1097/SGA.0000000000000722
Abstrakt:	The objective of this study was to describe the COVID-19 intensive care unit population and analyze the characteristics and outcomes of gastrointestinal bleeding patients. An observational prospective study design was used following the STROBE checklist. All patients admitted between February and April 2020 to the intensive care unit were included. Main outcome measures were first bleeding event timing, sociodemographic and clinical data before admission, and gastrointestinal symptoms. A total of 116 COVID-19 patients were included; 16 (13.8%) developed gastrointestinal bleeding, 15 were males (93.7%), and the median age was 65.64 ± 7.33 years. All 16 patients were mechanically ventilated, one (6.3%) already had gastrointestinal symptoms, 13 (81.3%) had at least one concomitant disease, and six (37.5%) died. Bleeding episodes occurred on a mean of 16.9 ± 9.5 days after admission. Nine cases (56.3%) had effects on their hemodynamics, hemoglobin levels, or transfusion requirements; six (37.5%) required diagnostic imaging; and two (12.5%) underwent endoscopy procedures. The Mann-Whitney test showed statistically significant differences between the two groups of patients concerning comorbidities. Gastrointestinal bleeding can occur in critically ill patients with COVID-19. Having a solid tumor or chronic liver disease seems to increase that risk. Nurses caring for COVID-19 patients are urged to individualize patients at higher risk in order to improve safety. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2023 Society of Gastroenterology Nurses and Associates.)
Databáze:	MEDLINE
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