GW24-e2320 Risk factors associated with upper gastrointestinal bleeding after percutaneous coronary intervention: A case-control study

Autor: Jiang Qing-An, Yang Fan, Yang Yong-Yao, Yang Tian-He, Yang Long
Rok vydání: 2013
Předmět:
Zdroj: Heart. 99:A143.2-A143
ISSN: 1468-201X
1355-6037
DOI: 10.1136/heartjnl-2013-304613.396
Popis: Objectives To evaluate the risk and protective factors for UGI bleeding in a large cohort of PCI patients. Methods A case-control study evaluating UGI bleeding within 7 days following PCI for stable angina and acute coronary syndromes, at Guizhou Provincial Hospital between 2008 and 2011. Cases (n = 27) were identified and outcomes assessed using analysis of data about PCI patients in Discharge Registry Department, and a detailed review of medical notes for each case and four matched controls (n = 108). Analysis of the case and control groups for risk and protective factors was performed using the χ 2 test with Fisher9s exact P value and logistic regression. Results The incidence of UGI bleeding following PCI was 1.1% (27 of 2,415 patients). The etiologies of these bleeds were diverse. Risk factors for UGI bleeding were primary PCI (OR49.60, 95%CI 5.799–422.544, P Conclusions Those undergoing PCI for acute myocardial infarction or in the presence hemodynamic instability are at highest risk, and PPI following PCI may reduce the bleeding risk.
Databáze: OpenAIRE