Predictors of in-hospital mortality in a cohort of elderly Egyptian patients with acute upper gastrointestinal bleeding

被引：31

作者：

Elsebaey, Mohamed A. ^{[1
]}

Elashry, Heba ^{[2
]}

Elbedewy, Tamer A. ^{[1
]}

Elhadidy, Ahmed A. ^{[1
]}

Esheba, Noha E. ^{[1
]}

Ezat, Sherif ^{[1
]}

Negm, Manal Saad ^{[1
]}

Abo-Amer, Yousry Esam-Eldin ^{[3
]}

El Abgeegy, Mohamed ^{[4
]}

Elsergany, Heba Fadl ^{[4
]}

Mansour, Loai ^{[2
]}

Abd-Elsalam, Sherief ^{[2
]}

机构：

[1] Tanta Univ, Internal Med Dept, Tanta, Egypt

[2] Tanta Univ, Trop Med Dept, Tanta, Egypt

[3] Mahalla Hepatol Teaching Hosp, Elgharbia, Egypt

[4] Natl Hepatol & Trop Med Res Inst, Cairo, Egypt

来源：

MEDICINE | 2018年 / 97卷 / 16期

关键词：

acute upper gastrointestinal bleeding; elderly; in-hospital mortality; GASTROESOPHAGEAL VARICES; HEMORRHAGE; CIRRHOSIS;

D O I：

10.1097/MD.0000000000010403

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Acute upper gastrointestinal bleeding (UGIB) affects large number of elderly with high rates of morbidity and mortality. Early identification and management of the factors predicting in-hospital mortality might decrease mortality. This study was conducted to identify the causes of acute UGIB and the predictors of in-hospital mortality in elderly Egyptian patients. 286 elderly patients with acute UGIB were divided into: bleeding variceal group (161 patients) and bleeding nonvariceal group (125 patients). Patients' monitoring was done during hospitalization to identify the risk factors that might predict in-hospital mortality in elderly. Variceal bleeding was the most common cause of acute UGIB in elderly Egyptian patients. In-hospital mortality rate was 8.74%. Increasing age, hemodynamic instability at presentation, co-morbidities (especially liver cirrhosis associated with other comorbidity) and failure to control bleeding should be considered when triaging those patients for immediate resuscitation, close observation, and early treatment.

引用

页数：5

共 23 条

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