Epidemiological profile of patients hospitalized for upper gastrointestinal hemorrhage in a university hospital in Northwestern Paraná

Abstract

Introduction: Upper gastrointestinal hemorrhage is characterized by intraluminal bleeding which is the result of an injury proximal to the ligament of Treitz, which may involve the esophagus, stomach or duodenum and can be classified as varicose and non-varicose. In this sense, for preventive interventions, it is important to know the profile of the patient who is most predisposed to ADH and its outcome after treatment. Objective: To analyze the epidemiological profile of patients hospitalized for upper gastrointestinal hemorrhage at a university hospital in northwestern Paraná. Method: This is an exploratory study with a quantitative approach, carried out at a University Hospital in the Northwest of Paraná, through access to the medical records of patients hospitalized for digestive bleeding in 2022. Data collection took place between August and October 2023 and the analysis was performed descriptively. The study was approved by the Research Ethics Committee under Opinion No. 6,117,164. Results: In 2022, there were 247 admissions by HDA. Males were the most prevalent among the patients and the mean age was 61 years. In 61.5% of the cases, the clinical manifestation was melena. The most commonly performed invasive procedure was UDE, and in 76.1% of the cases there was a good outcome with hospital discharge. Conclusion: Knowing the patient's profile and the main risk factors for a serious pathology such as ADH makes it possible to develop a discharge plan based on their needs in order to avoid readmissions and even death from the disease.