Identification of risk factors for upper gastrointestinal bleeding in intensive care unit patients (GIBICU study)
| Autor: | Alexander Poszler, Evelyn Nguyen, Matthias Christoph Braunisch, Sebastian Rasch, Mohamed Abdelhafez, Jörg Ulrich, Johannes Wiessner, Roland M. Schmid, Tobias Lahmer |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Scandinavian Journal of Gastroenterology. 57:1417-1422 |
| ISSN: | 1502-7708 0036-5521 |
| DOI: | 10.1080/00365521.2022.2089860 |
| Popis: | Risk stratification for the need for therapeutic endoscopy and prediction of mortality in patients with upper gastrointestinal bleeding (UGIB) can be assessed by several scores. However, current scores are not validated for variceal bleeding and Intensive Care Unit (ICU) patients. The aim of this study was to evaluate potential parameters for the prediction of UGIB and patient outcomes.In this monocenter retrospective observational study, data from all esophagogastroduodenoscopies (EGD) between November 2014 and February 2020 with suspected hemorrhage in our ICU were evaluated.Out of 345 included EGD, 42.3% of UGIB was diagnosed. 51.9% needed endoscopic intervention. Overall, 52.3% of included patients with UGIB died. Logistic regression showed that preceding variceal or non-variceal UGIB (We were able to identify additional parameters that had previously not been included in existing scores to predict the risk of UGIB, the need for therapeutic endoscopy and mortality in ICU patients. Therefore, an extension of these scores is necessary. Further validation of identified parameters in multicenter trials is needed to improve risk scores for ICU patients. |
| Databáze: | OpenAIRE |
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