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  • Ký hiệu PL/XG: 616.345
    Nhan đề: Clinical characteristics, interventions and outcomes of acute lower gastrointestinal bleeding :
DDC 616.345
Nhan đề Clinical characteristics, interventions and outcomes of acute lower gastrointestinal bleeding : A multicenter study in Vietnam / Uyen Pham Phuong Vo, Na Le To, Ly Thi Kim Le, Cong Hong Minh Vo and Duc Trong Quach
Tóm tắt Introduction: Despite many medical advances, acute lower gastrointestinal bleeding in Asia has been increasing gradually and has resulted in substantial mortality. The study aimed to describe the clinical characteristics, interventions, and outcomes of acute lower gastrointestinal bleeding in Vietnamese people. Methods: A multicenter cohort study was prospectively and retrospectively conducted in patients presenting with acute lower gastrointestinal bleeding in Vietnam. Severe lower gastrointestinal bleeding was defined as persistent bleeding within the first 24 hours and/or recurrent bleeding after 24 hours of stability accompanied by a reduction in hematocrit of ≥ 20% and/or transfusion of ≥ 2 units of red blood cells. The clinical characteristics, interventions, and adverse outcomes were recorded. Results: There were 811 patients with a male:female ratio of 1.07 and a mean age of 61 years. A total of 85.6% of patients presented with hematochezia. The common causes of acute lower gastrointestinal bleeding were hemorrhoids (28.6%), diverticulosis (9.7%), and unknown origin (16%). The rates of blood transfusion, endoscopic therapy, radiologic intervention, and surgery were 39.8%, 8.6%, 0.5%, and 7.3%, respectively. Severe lower gastrointestinal bleeding was observed in 222 (27.4%) patients. In-hospital deaths were recorded in 17 (2.1%) patients. The majority of in-hospital deaths were due to unstable comorbidities. Conclusions: Hemorrhoids were the most common cause of acute lower gastrointestinal bleeding. The rates of blood transfusion, endoscopic hemostasis, interventional radiology, and surgery were 39.8%, 8.6%, 0.5%, and 7.3%, respectively. A total of 27.4% of cases progressed to severe bleeding.
Từ khóa tự do Mortality
Từ khóa tự do Colonoscopy
Từ khóa tự do Lower gastrointestinal bleeding
Từ khóa tự do Severe bleeding
Tác giả(bs) CN Le, Thi Kim Ly
Tác giả(bs) CN To, Le Na
Tác giả(bs) CN Vo, Pham Phuong Uyen
Tác giả(bs) CN Quach, Trong Duc
Tác giả(bs) CN Vo, Hong Minh Cong
Nguồn trích MedPharmRes 2023tr. 38-45 Số: 02 Tập: 23
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040 |aACTVN
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082 |a616.345
245 |aClinical characteristics, interventions and outcomes of acute lower gastrointestinal bleeding : |bA multicenter study in Vietnam / |cUyen Pham Phuong Vo, Na Le To, Ly Thi Kim Le, Cong Hong Minh Vo and Duc Trong Quach
520 |aIntroduction: Despite many medical advances, acute lower gastrointestinal bleeding in Asia has been increasing gradually and has resulted in substantial mortality. The study aimed to describe the clinical characteristics, interventions, and outcomes of acute lower gastrointestinal bleeding in Vietnamese people. Methods: A multicenter cohort study was prospectively and retrospectively conducted in patients presenting with acute lower gastrointestinal bleeding in Vietnam. Severe lower gastrointestinal bleeding was defined as persistent bleeding within the first 24 hours and/or recurrent bleeding after 24 hours of stability accompanied by a reduction in hematocrit of ≥ 20% and/or transfusion of ≥ 2 units of red blood cells. The clinical characteristics, interventions, and adverse outcomes were recorded. Results: There were 811 patients with a male:female ratio of 1.07 and a mean age of 61 years. A total of 85.6% of patients presented with hematochezia. The common causes of acute lower gastrointestinal bleeding were hemorrhoids (28.6%), diverticulosis (9.7%), and unknown origin (16%). The rates of blood transfusion, endoscopic therapy, radiologic intervention, and surgery were 39.8%, 8.6%, 0.5%, and 7.3%, respectively. Severe lower gastrointestinal bleeding was observed in 222 (27.4%) patients. In-hospital deaths were recorded in 17 (2.1%) patients. The majority of in-hospital deaths were due to unstable comorbidities. Conclusions: Hemorrhoids were the most common cause of acute lower gastrointestinal bleeding. The rates of blood transfusion, endoscopic hemostasis, interventional radiology, and surgery were 39.8%, 8.6%, 0.5%, and 7.3%, respectively. A total of 27.4% of cases progressed to severe bleeding.
653 |aMortality
653 |aColonoscopy
653 |aLower gastrointestinal bleeding
653 |aSevere bleeding
700 |aLe, Thi Kim Ly
700 |aTo, Le Na
700 |aVo, Pham Phuong Uyen
700|aQuach, Trong Duc
700|aVo, Hong Minh Cong
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