| Popis: |
Background: Because the clinical course of gastrointestinal bleeding varies, urgent judgments regarding the severity of a patient’s condition, indications for endoscopic hemostasis, and transfer to a higher medical institution are needed at private medical facilities without hospital beds. The present study aimed to evaluate the characteristics of patients with vital sign fluctuations during emergency endoscopy for gastrointestinal bleeding and experiencing rebleeding within 30 days after initial endoscopy. We then investigated criteria for transferring patients to higher medical institutions based on the results.Methods: We retrospectively evaluated the characteristics of 91 patients who underwent emergency endoscopy for gastrointestinal bleeding at our facility without hospital beds between January 2016 and September 2020. The patients were divided into 2 groups: 13 with vital sign fluctuations during emergency endoscopy and/or rebleeding within 30 days after an initial endoscopy as the required transfer group and 78 without either as the nonrequired transfer group.Results: No significant differences in age, sex, location, or endoscopic treatment were observed between the 2 groups. However, the prevalence of comorbidities was significantly higher in the required transfer group (P Conclusions: These findings suggest that comorbidity presence is a poor prognostic factor in patients with gastrointestinal bleeding, for whom transfer to higher medical institutions needs to be actively considered.Trial registrationParticipants were retrospectively registered. |
