Predictors of Mortality in Patients Admitted to Hospital for Acute Upper Gastrointestinal Hemorrhage

Abstract

In patients admitted to hospital because of UGI hemorrhage the prognosis depends on age, underlying diseases, hemodynamic status, and the persistence or recurrence of bleeding. The causes of bleeding were not relevant to the prognosis.

Acute upper gastrointestinal bleeding in octοgenarians: Clinical outcome and factors related to mortality

“…Age has been established as an independent significant risk factor for poor clinical outcome in patients with AUGIB. Mortality rates ranging from 12% to 35% for those aged over 60 years, compared with less than 10% for patients younger than 60 years of age, have been reported in previous studies [2,8,9] . There has been limited information on the clinical outcome of the very elderly patients with AUGIB.…”

Risk stratification and outcome in haematemsis patients in emergency room in Suez Canal university hospital, Ismailia, Egypt

“…These factors should be taken into account when determining the need for admission or suitability for discharge: the study aims to risk stratification for haematemesis patients to get rapid evaluation and best management to improve outcome. 7 …”

“…These factors should be taken into account when determining the need for admission or suitability for discharge: 7  Age -mortality due to haematemesis increases with age across all age groups. 2,6,7  Co morbidity -the absence of significant co morbidity is associated with low mortality Rate Even one co morbidity almost doubles mortality and the presence of cardiac failure , chronic renal failure,  Liver disease -cirrhosis is associated with a doubling of mortality and much higher risk of interventions such as endoscope haemostasis or transfusion.…”

Upper gastrointestinal bleeding risk scores: Who, when and why?

“…Many risk factors are known to influence the outcome in UGIB setting. Age, comorbidities, presence of shock, endoscopic diagnosis, haemoglobin values at the time, ulcers' size, stigmata of recent haemorrhage and need for a blood transfusion have all been described as significant risk factors for rebleeding and death [4][5][6][7][8] .…”