Long-term Mortality of Patients Admitted to the Intensive Care Unit for Gastrointestinal Bleeding

Gopalswamy, N.; Malhotra, Vikas; Reddy, Niranjan; Singh, Brij Mohan Kumar; Markert, Ronald J.; Sangal, Satya P.; Roy, Jordan

doi:10.1097/01.smj.0000117795.47270.61

Cited by 9 publications

(7 citation statements)

References 10 publications

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“…In our study, we reported mortality rate for a much shorter period of time (within 30 days). In another prospective cohort study of 66 patients admitted to intensive care units with a primary diagnosis of GI bleeding, Gopalswamy et al (27) reported that Charslon index correlated with long-term mortality (7 years). The Charlson index may be more accurate for long-term than short term mortality.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Three Risk Scores to Predict Outcomes of Severe Lower Gastrointestinal Bleeding

Camus

Jensen

Ohning

et al. 2016

Journal of Clinical Gastroenterology

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Background & aims Improved medical decisions by using a score at the initial patient triage level may lead to improvements in patient management, outcomes, and resource utilization. There is no validated score for management of lower gastrointestinal bleeding (LGIB) unlike for upper GIB. The aim of our study was to compare the accuracies of 3 different prognostic scores (CURE Hemostasis prognosis score, Charlston index and ASA score) for the prediction of 30 day rebleeding, surgery and death in severe LGIB. Methods Data on consecutive patients hospitalized with severe GI bleeding from January 2006 to October 2011 in our two-tertiary academic referral centers were prospectively collected. Sensitivities, specificities, accuracies and area under the receiver operating characteristic (AUROC) were computed for three scores for predictions of rebleeding, surgery and mortality at 30 days. Results 235 consecutive patients with LGIB were included between 2006 and 2011. 23% of patients rebled, 6% had surgery, and 7.7% of patients died. The accuracies of each score never reached 70% for predicting rebleeding or surgery in either. The ASA score had a highest accuracy for predicting mortality within 30 days (83.5%) whereas the CURE Hemostasis prognosis score and the Charlson index both had accuracies less than 75% for the prediction of death within 30 days. Conclusions ASA score could be useful to predict death within 30 days. However a new score is still warranted to predict all 30 days outcomes (rebleeding, surgery and death) in LGIB.

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Section: Discussionmentioning

confidence: 99%

Comparison of Three Risk Scores to Predict Outcomes of Severe Lower Gastrointestinal Bleeding

Camus

Jensen

Ohning

et al. 2016

Journal of Clinical Gastroenterology

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Section: Discussionmentioning

confidence: 99%

“…12 However, most of the mortality data in available studies are related either to in-hospital or 30-day mortality. 12 Higher mortality rates in patients with GI bleeding are attributed to associated comorbidities. 12 One study reported an overall mortality rate of ϳ14%, with these deaths occurring almost exclusively in older patients or those with serious comorbidity.…”

Section: Discussionmentioning

confidence: 99%

“…12 Higher mortality rates in patients with GI bleeding are attributed to associated comorbidities. 12 One study reported an overall mortality rate of ϳ14%, with these deaths occurring almost exclusively in older patients or those with serious comorbidity. 6 The mortality rate in our study was 9.8%: 91% of patients who died had severe comorbid diseases and 81.8% were Ͼ75 years.…”

Section: Discussionmentioning

confidence: 99%

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Management of Acute Upper Gastrointestinal Bleeding in a District Hospital

Kasem

Kamal

Chandra

et al. 2006

Journal of Laparoendoscopic & Advanced Surgical Techniques

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High-standard results in acute upper gastrointestinal bleeding can be achieved in a district hospital. The management, including the use of the operating theater facilities with operative and anesthetic support, was safe and efficient. A 24-hour-a-day endoscopy service is important to achieve early diagnosis and to plan management. A protocol and early endoscopy improve clinical outcome and reduce mortality, which occurred mostly among elderly patients with high risk scores. It is advisable to introduce the Rockall scoring system in practice.

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“…The Charlson Index, a global index of comorbidity derived from a cohort of general medical patients, [11] has been extensively used to assess comorbidities in different [12][13][14][15][16][17][18]. A modified Charlson Index (which removes the points for the CAD complications of myocardial infarction and heart failure from the original index) has been applied in patients with CAD [19].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of comorbidity scores to predict all-cause mortality in patients with established coronary artery disease

Chirinos

Veerani

Zambrano

et al. 2007

International Journal of Cardiology

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Long-term Mortality of Patients Admitted to the Intensive Care Unit for Gastrointestinal Bleeding

Abstract: All-cause and GI bleeding-related 7-year mortality for patients admitted to the MICU with GI bleeding was lower than the rates cited in the literature. The Charlson score was helpful in predicting mortality.

Cited by 9 publications

References 10 publications

Comparison of Three Risk Scores to Predict Outcomes of Severe Lower Gastrointestinal Bleeding

Comparison of Three Risk Scores to Predict Outcomes of Severe Lower Gastrointestinal Bleeding

Management of Acute Upper Gastrointestinal Bleeding in a District Hospital

Evaluation of comorbidity scores to predict all-cause mortality in patients with established coronary artery disease

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