Predictors of non-significant endoscopic findings in patients with suspected upper gastrointestinal tract hemorrhage

Predictors of non-significant endoscopic findings in patients with suspected upper gastrointestinal tract hemorrhage

The objective of the present study was to determine pre-endoscopic predictive factors of nonsignificant endoscopic findings in patients with suspected upper gastrointestinal tract hemorrhage (UGIH). Medical records of 187 patients admitted with the primary diagnosis of UGIH were reviewed. Non-signif...

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Bibliographic Details
Published in:Journal of the Medical Association of Thailand Vol. 88; no. 9; p. 1207
Main Authors: Sumritpradit, Preeda, Tangkittimasak, Suwat, Lertsithichai, Panuwat
Format: Journal Article
Language:English
Published: Thailand 01-09-2005
Subjects:
Acute Disease
Ambulatory Care
Comorbidity
Diagnosis, Differential
Emergency Service, Hospital
Endoscopy, Digestive System - utilization
Female
Gastrointestinal Hemorrhage - classification
Gastrointestinal Hemorrhage - diagnosis
Hospitalization
Humans
Male
Middle Aged
Needs Assessment
Predictive Value of Tests
Preoperative Care
Prognosis
Prospective Studies
Risk Assessment
Risk Factors
Thailand
Thailand
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Summary:The objective of the present study was to determine pre-endoscopic predictive factors of nonsignificant endoscopic findings in patients with suspected upper gastrointestinal tract hemorrhage (UGIH). Medical records of 187 patients admitted with the primary diagnosis of UGIH were reviewed. Non-significant endoscopic findings were defined as "normal": "mild gastritis" or unspecified gastritis with a hospital stay of two days or less. Possible predictors of non-significant endoscopic findings included pertinent history, physical examination, nasogastric tube aspirate, routine laboratory findings, and units of infused packed red cells (PRC). Multiple logistic regression analysis was used to determine significant predictors. Predictors of non-significant endoscopic findings included the absence of comorbid diseases (OR: 6.4; 95%CI: 3.0-13.6), higher platelet count (OR. 1.7 per 100,000 increase; 95%CI: 1.1-2.5) and less PRC infusion (OR: 1.9 per unit decrease; 95%CI: 1.3-2.7). Patients with UGIH who may have a negative EGD can be identified prior to endoscopy.
ISSN:0125-2208