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Study on factors associated with non-variceal upper gastrointestinal bleeding in hospitalized elderly patients / 中华老年医学杂志
Chinese Journal of Geriatrics ; (12): 965-969, 2022.
Article in Chinese | WPRIM | ID: wpr-957324
ABSTRACT

Objective:

To investigate factors related to non-variceal upper gastrointestinal bleeding(NVUGIB)in hospitalized elderly patients.

Methods:

A retrospective study was conducted to collect the medical records of 1 085 elderly patients at the Affiliated Hospital of Qingdao University from January 1, 2018 to January 1, 2019.According to whether NVUGIB occurred during hospitalization, they were divided into the bleeding group(173 cases)and the control group(912 cases). General information(age, sex, smoking and drinking), diseases, medications and laboratory test results for the two groups were compared and analyzed, and factors related to NVUGIB were analyzed via binary Logistic regression.

Results:

There were significant differences in age, smoking, drinking, peptic ulcer, tumor, coronary heart disease, atrial fibrillation, stroke, helicobacter pylori(HP)infection, acute respiratory failure, use of anti-coagulant, anti-platelet drugs, nonsteroidal anti-inflammatory drugs and glucocorticoids, leukocyte counts, hemoglobin, C-reactive protein, procalcitonin, prothrombin time and international normalized ratio(INR), D-dimer, triglycerides, albumin and glycosylated hemoglobin(all P<0.05). Multivariate Logistic regression analysis showed that history of tumor( OR=1.552, 95% CI 1.028-2.344), peptic ulcer( OR=4.797, 95% CI 2.263-10.165), HP infection( OR=7.199, 95% CI 1.825-28.571), acute respiratory failure( OR=2.977, 95% CI 1.314-6.757), use of anti-coagulant and anti-platelet drugs( OR=2.715, 95% CI 1.769-4.167), prolonged INR( OR=21.314, 95% CI 2.321-195.727), increased leukocyte count( OR=10.370, 95% CI 6.521-16.493)and hypoproteinemia( OR=1.970, 95% CI 1.304-2.976)were independent risk factors for NVUGIB in hospitalized elderly patients.

Conclusions:

For hospitalized elderly patients, attention should be paid to their history of tumor, peptic ulcer, HP infection, acute respiratory failure, prolonged INR, elevated leukocyte counts, hypoalbuminemia and the use of anti-coagulant and anti-platelet drugs.The occurrence of NVUGIB, early evaluation and intervention should be carefully monitored or carried out to reduce its incidence in hospitalized elderly patients.

Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Chinese Journal of Geriatrics Year: 2022 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Language: Chinese Journal: Chinese Journal of Geriatrics Year: 2022 Type: Article