Retrospective Evaluation of Critical Care Patients with Upper Gastrointestinal System Bleeding

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dc.authoridelmas, dursun/0000-0002-3452-529X
dc.contributor.authorOzkan Kuscu, Ozlem
dc.contributor.authorElmas, Dursun
dc.contributor.authorErdogan, Murat
dc.contributor.authorArslan Benli, Burcu
dc.contributor.authorKaraogcullarindan, Umit
dc.contributor.authorAktay Inal, Meltem
dc.contributor.authorDestegul, Dilek
dc.date.accessioned2024-11-07T13:34:48Z
dc.date.available2024-11-07T13:34:48Z
dc.date.issued2019
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractAim: Upper gastrointestinal bleeding is an important cause of mortality and morbidity. The aim of this study is to evaluate the risk factors of mortality in patients admitted to medical ICU with upper gastrointestinal bleeding. Methods: Patients admitted to medical ICU with upper GI bleeding or patients with new onset GIS bleeding during the ICU stay between January 2010- December 2016 were included. Patient datas were recorded from the hospitals database retrospectively. Results: There were 3990 patients between the study period. One hundred seventy six of these patients had gastrointestinal bleeding and enrolled the study. One hundred seventeen (66,5%) of 176 patients were male, 59 (33,5%) were female. Mean age of the patients was 63 +/- 16 years. While the number of the patients who underwent endoscopy procedure was 152 (86,4%); mortality rate of these patients was 46,1%; and 91,7% for the patients who did not undergo the endoscopy procedure. Mortality rates of patients with variceal and nonvariceal bleeding diagnose were 46% and 47,6%. Uremia, renal failure, increase of the leucocyte count during the follow up, coagulopathy, increased demand of erythrocyte suspension and lack of endoscopy procedure were determined as risk factors for mortality. Conclusion: Upper gastrointestinal bleeding in the intensive care unit is a situation which is with high mortality rate. Higher APACHE II Score, presence of comorbidities are determinants of prognosis.
dc.identifier.doi10.33381/dcbybd.2019.2132
dc.identifier.endpage84
dc.identifier.issn1309-1689
dc.identifier.issn1309-6222
dc.identifier.issue3
dc.identifier.scopus2-s2.0-85078745835
dc.identifier.scopusqualityN/A
dc.identifier.startpage80
dc.identifier.trdizinid329978
dc.identifier.urihttps://doi.org/10.33381/dcbybd.2019.2132
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/329978
dc.identifier.urihttps://hdl.handle.net/11480/16158
dc.identifier.volume10
dc.identifier.wosWOS:000511176700002
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isotr
dc.publisherTurkish Soc Medical & Surgical Intensive Care Medicine
dc.relation.ispartofJournal of Medical and Surgical Intensive Care Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241106
dc.subjectUpper Gastrointestinal Bleeding
dc.subjectCritical Patient
dc.subjectStress Ulcer
dc.subjectUpper GIS
dc.titleRetrospective Evaluation of Critical Care Patients with Upper Gastrointestinal System Bleeding
dc.title.alternativeÜst gastrointestinal sistem kanaması olan yoğun bakım hastalarının retrospektif değerlendirilmesi
dc.typeArticle

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