Gastrointestinal bleeding in patients admitted to cardiology: risk factors and a new risk score

نویسندگان

چکیده

Although the early use of a risk stratification score in gastrointestinal bleeding (GIB) is recommended, so far there has been no for GIB patients admitted to cardiology department. To describe factors and develop new model A total 633 inpatients with from January 2014 December 2018 were recruited, 4,231 non-GIB recruited as control group. Multivariate logistic regression was used GIB. developed derivation cohort. Accuracy predict assessed by area under receiver operating characteristic (AUROC) curve validation Male, coronary heart disease, hypertension, stroke, systolic blood pressure, hematocrit, plasma albumin, alanine aminotransferase (ALT) associated The had high predictive accuracy (AUROC 0.816 95% CI, 0.792-0.839), which supported cohort 0.841 0.807~0.874). Besides, prediction better than HAS-BLED 0.557; 0.513~0.602) CRUSADE 0.791; 95%CI, 0.757~0.825), respectively. Among 0-3, 4-7, ≥8 points, incidence GIB, proportion requiring suspended red cells transfusion, length stay, in-hospital mortality all increased gradually (P< 0.001). ALT are an accurate that predicts

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Incidence and risk factors of upper gastrointestinal bleeding in pediatric intensive care unit admitted patients

Background and Objective: To assess the incidence and risk factors of upper gastrointestinal bleeding in children admitted to pediatric intensive care unit for more than 6 hrs. Methods: We prospectively collected medical records of children between 1 month and 18 years old admit-ted to our 10 bed PICU of a tertiary care university hospital between December 1, 2014 and May 30, 2015. De-mographi...

متن کامل

Incidence and risk factors for gastrointestinal bleeding among patients admitted to medical intensive care units.

OBJECTIVES To identify incidence and risk factors for new-onset gastrointestinal bleeding (GIB) in a medical intensive care unit (ICU), a topic for which there is a paucity of recent studies. DESIGN Retrospective cohort study. SETTING Medical ICUs at our tertiary-care hospital, from 2007 to 2013. PATIENTS Patients who developed clinically significant GIB after entering the ICU. INTERVEN...

متن کامل

incidence and risk factors of upper gastrointestinal bleeding in pediatric intensive care unit admitted patients

background and objective: to assess the incidence and risk factors of upper gastrointestinal bleeding in children admitted to pediatric intensive care unit for more than 6 hrs. methods: we prospectively collected medical records of children between 1 month and 18 years old admit-ted to our 10 bed picu of a tertiary care university hospital between december 1, 2014 and may 30, 2015. de-mographic...

متن کامل

Risk score to predict gastrointestinal bleeding after acute ischemic stroke

BACKGROUND Gastrointestinal bleeding (GIB) is a common and often serious complication after stroke. Although several risk factors for post-stroke GIB have been identified, no reliable or validated scoring system is currently available to predict GIB after acute stroke in routine clinical practice or clinical trials. In the present study, we aimed to develop and validate a risk model (acute isch...

متن کامل

Assessing Bleeding Risk in Atrial Fibrillation Patients: Comparing a Bleeding Risk Score Based Only on Modifiable Bleeding Risk Factors against the HAS-BLED Score. The AMADEUS Trial.

Background The HAS-BLED (hypertension, abnormal renal/liver function, previous stroke, bleeding history or predisposition, labile international normalized ratio [INR], elderly and drugs/alcohol consumption) score has been validated in several scenarios but the recent European guidelines does not recommend any clinical score to assess bleeding risk in atrial fibrillation (AF) patients and only f...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Hellenic Journal of Cardiology

سال: 2021

ISSN: ['1109-9666', '2241-5955']

DOI: https://doi.org/10.1016/j.hjc.2020.07.003