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Predictive factors of mortality within 30 days in patients with nonvariceal upper gastrointestinal bleeding

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Affiliated Author(s)
이유진김은수박경식조광범장병국정우진황재석
Alternative Author(s)
Lee, Yoo JinKim, Eun SooPark, Kyung SikCho, Kwang BumJang, Byoung KukChung, Woo JinHwang, Jae Seok
Journal Title
Korean Journal of Internal Medicine
ISSN
1226-3303
Issued Date
2016
Keyword
Gastrointestinal hemorrhageMortalityPrognosisComorbidity
Abstract
Background/Aims: Nonvariceal upper gastrointestinal bleeding (NVUGIB) is a
common medical emergency that can be life threatening. This study evaluated
predictive factors of 30-day mortality in patients with this condition.
Methods: A prospective observational study was conducted at a single hospital between
April 2010 and November 2012, and 336 patients with symptoms and signs
of gastrointestinal bleeding were consecutively enrolled. Clinical characteristics
and endoscopic findings were reviewed to identify potential factors associated
with 30-day mortality.
Results: Overall, 184 patients were included in the study (men, 79.3%; mean age,
59.81 years), and 16 patients died within 30 days (8.7%). Multivariate analyses revealed
that comorbidity of diabetes mellitus (DM) or metastatic malignancy, age
≥ 65 years, and hypotension (systolic pressure < 90 mmHg) during hospitalization
were significant predictive factors of 30-day mortality.
Conclusions: Comorbidity of DM or metastatic malignancy, age ≥ 65 years, and
hemodynamic instability during hospitalization were predictors of 30-day mortality
in patients with NVUGIB. These results will help guide the management of
patients with this condition.
Department
Dept. of Internal Medicine (내과학)
Publisher
School of Medicine
Citation
Yoo Jin Lee et al. (2016). Predictive factors of mortality within 30 days in patients with nonvariceal upper gastrointestinal bleeding. Korean Journal of Internal Medicine, 31(1), 54–64. doi: 10.3904/kjim.2016.31.1.54
Type
Article
ISSN
1226-3303
DOI
10.3904/kjim.2016.31.1.54
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33260
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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