Predictors of clinically significant upper gastrointestinal hemorrhage among children with hematemesis
| Autor: | Maggie Rumantir, Charles Stewart, Stephen B. Freedman, Jennifer Thull-Freedman |
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| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Blood transfusion Adolescent medicine.medical_treatment Health Status Gastroenterology Hemoglobins Melena Risk Factors Internal medicine Tachycardia medicine Humans Medical history Blood Transfusion Child Digestive System Surgical Procedures Retrospective Studies business.industry Incidence (epidemiology) Incidence Age Factors Infant Retrospective cohort study Hematemesis Hematochezia Confidence interval Child Preschool Pediatrics Perinatology and Child Health Vomiting Female medicine.symptom business Emergency Service Hospital Gastrointestinal Hemorrhage |
| Zdroj: | Journal of pediatric gastroenterology and nutrition. 54(6) |
| ISSN: | 1536-4801 |
| Popis: | OBJECTIVES The aim of the study was to determine the proportion of children with hematemesis who experience a clinically significant upper gastrointestinal hemorrhage (UGIH) and to identify variables predicting their occurrence. METHODS A retrospective cohort study was conducted. All of the emergency department visits by children ages 0 to 18 years who presented with hematemesis between 2000 and 2007 were reviewed. The primary aim of the study was to determine the proportion of children who developed a clinically significant UGIH; the secondary aim was to identify risk factors predictive of a clinically significant UGIH. A significant UGIH was defined by any of the following: hemoglobin drop >20 g/L, blood transfusion, or emergent endoscopy or surgical procedure. RESULTS Twenty-seven of 613 eligible children (4%; 95% confidence interval 3%-6%) had a clinically significant UGIH. Clinically significant hemorrhages were associated with older age (9.7 vs 2.9 years; P |
| Databáze: | OpenAIRE |
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