Predictors of poor outcome in gastrointestinal bleeding in emergency department

World J Gastroenterol. 2016 Apr 28;22(16):4219-25. doi: 10.3748/wjg.v22.i16.4219.

Abstract

Aim: To determine the prognostic risk factors of gastrointestinal bleeding in emergency department cases.

Methods: The trial was a retrospective single-center study involving 600 patients over 18-years-old and carried out with approval by the Institutional Ethics Committee. Patient data included demographic characteristics, symptoms at admission, past medical history, vital signs, laboratory results, endoscopy and colonoscopy results, length of hospital stay, need of intensive care unit (ICU) admission, and mortality. Mortality rate was the principal endpoint of the study, while duration of hospital stay, required interventional treatment, and admission to the ICU were secondary endpoints.

Results: The mean age of patients was 61.92-years-old. Among the 600 total patients, 363 (60.5%) underwent upper gastrointestinal endoscopy and the most frequent diagnoses were duodenal ulcer (19.2%) and gastric ulcer (12.8%). One-hundred-and-fifteen (19.2%) patients required endoscopic treatment, 20 (3.3%) required surgical treatment, and 5 (0.8%) required angiographic embolization. The mean length of hospital stay was 5.21 ± 5.85 d. The mortality rate was 6.3%. The ICU admission rate was 5.3%. Patients with syncope, higher blood glucose levels, and coronary artery disease had significantly higher ICU admission rates (P = 0.029, P = 0.043, and P = 0.002, respectively). Patients with low thrombocyte levels, high creatinine, high international normalized ratio, and high serum transaminase levels had significantly longer hospital stay (P = 0.02, P = 0.001, P = 0.019, and P = 0.005, respectively). Patients who died had significantly higher serum blood urea nitrogen and creatinine levels (P = 0.016 and P = 0.038), and significantly lower mean blood pressure and oxygen saturation (P = 0.004 and P = 0.049). Malignancy and low Glasgow coma scale (GCS) were independent predictive factors of mortality.

Conclusion: Prognostic factors for gastrointestinal bleeding in emergency room cases are malignancy, hypotension on admission, low GCS, and impaired kidney function.

Keywords: Emergency department; Gastrointestinal bleeding; Kidney function; Malignancy; Mortality; Poor prognosis.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Duodenal Ulcer / mortality
  • Duodenal Ulcer / therapy
  • Embolization, Therapeutic* / adverse effects
  • Embolization, Therapeutic* / mortality
  • Emergency Service, Hospital*
  • Endoscopy, Gastrointestinal
  • Female
  • Gastrointestinal Hemorrhage / diagnosis
  • Gastrointestinal Hemorrhage / mortality
  • Gastrointestinal Hemorrhage / therapy*
  • Glasgow Coma Scale
  • Hemostasis, Endoscopic* / adverse effects
  • Hemostasis, Endoscopic* / mortality
  • Hospital Mortality
  • Humans
  • Hypotension / mortality
  • Hypotension / physiopathology
  • Intensive Care Units
  • Kidney Diseases / mortality
  • Kidney Diseases / physiopathology
  • Length of Stay
  • Male
  • Middle Aged
  • Neoplasms / mortality
  • Peptic Ulcer Hemorrhage / mortality
  • Peptic Ulcer Hemorrhage / therapy
  • Retrospective Studies
  • Risk Factors
  • Stomach Ulcer / mortality
  • Stomach Ulcer / therapy
  • Time Factors
  • Treatment Outcome
  • Turkey
  • Young Adult