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DOI: 10.1055/s-0042-1745128
UPPER DIGESTIVE HEMORRHAGE: CLINICAL, ENDOSCOPIC AND EVOLUTIONARY PARTICULARITIES BETWEEN PATIENTS WITH COMMUNITY AND INTRA-HOSPITAL HEMORRHAGE, PROSPECTIVE STUDY
Aims The aim of this study is to compare the clinical, endoscopic and evolutionary particularities between patients with community and intra-hospital hemorrhage.
Methods This is a prospective cross-sectional study of 332 patients, conducted over a one-year period between June 2020 and August 2021.
We divided our patients into 2 groups:
- groupe A : patients with community hemorrhage
- group B : patients with in-hospital hemorrhage.
Results For group A the mean age was 58.8±17.2 years with a sex ratio of 2.2. 20.44% had comorbidities, the endoscopy was abnormal in 88.9% of cases, the cause was dominated by ulcer origin in 42% of cases, active bleeding was found in 13.3% of cases.
For group B, the average age was 61.7±14.2 years with a sex ratio of 3.5. 58.7% had comorbidities, the endoscopy was abnormal in 85.7% of the cases, the cause was dominated by ulcer origin in 51%, active bleeding was found in 26.9% of the cases, 3 cases of death.
A statistically significant difference between the two groups concern the presence of comorbidities (p=0.01), the use of anti-thrombotic drugs (p=0.012), the presence of active bleeding (p=0.008), use of endoscopic haemostatic procedure (p=0.04), and need for transfusions(p=0.002). The median Blatchford score was 9±3.5 and 12±3 respectively (p<0.001). The Rockall score was 4.22±0.079 and 5.04±0.131 respectively(p<0.01).
Conclusions Ulcer disease was the main cause. There was a higher transfusion requirement, active bleeding rate, use of endoscopic hemostasis, and mortality for in-hospital bleeding.This appeared to be related primarily to higher comorbidities.
Publication History
Article published online:
14 April 2022
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