[Poor outcome factors associated to patients with lower digestive bleeding in a public hospital]
| Autor: | Jorge Luis, Rojas-Domínguez, Alvaro, Carvallo-Michelena, Alejandro, Piscoya, Edson, Guzmán |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Hospitals Public Length of Stay Middle Aged Prognosis Patient Readmission Risk Assessment Hemostasis Surgical Colonic Diseases Rectal Diseases Risk Factors Outcome Assessment Health Care Peru Humans Blood Transfusion Female Hospital Mortality Gastrointestinal Hemorrhage Aged Retrospective Studies |
| Zdroj: | Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru. 36(4) |
| ISSN: | 1609-722X |
| Popis: | Lower gastrointestinal bleeding (LGIB) is an event that has shown an increase in complications and mortality rates in the last decades. Although some factors associated with poor outcome have been identified, there are several yet to be evaluated.To identify risk factors for poor outcome in patients with LGIB in the Hospital Edgardo Rebagliati Martins of Lima, Peru.A prospective analytic observational cohort study was made, and a census was conducted with all patients with acute LGIB between January 2010 and December 2013. The main variables were heart rate ≥100/min, systolic blood pressure100 mmHg and low hematocrit (≤35%) at admission. Poor outcome was defined as any of the following: death during hospital stay, bleeding requiring transfusion of ≥4 blood packs, readmission within one month of hospital discharge, or the need for hemostatic surgery.A total of 341 patients with LGIB were included, of which 27% developed poor outcome and 2% died. Variables found to be statistically related to poor outcome were: heart rate ≥ 100/min at admission (RR: 1.75, IC 95% 1.23- 2.50), systolic blood pressure100 mmHg at admission (RR: 2.18, IC 95% 1.49-3.19), hematocrit ≤35% at admission (RR: 1.98, IC 95% 1.23-3.18) and LGIB of unknown origin (RR: 2.74, IC 95% 1.73-4.36).Elevated heart rate at admission, systolic hypotension at admission, low hematocrit at admission and having a LGIB of unknown origin are factors that increase the risk of developing poor outcome, and these patients should be monitored closely due to their higher risk of complications. |
| Databáze: | OpenAIRE |
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