BACKGROUND/AIMS@#Selecting
patients with an urgent need for
endoscopic hemostasis is difficult based only on simple
parameters of presumed acute upper gastrointestinal
bleeding. This study assessed easily applicable factors to predict cases in need of urgent
endoscopic hemostasis due to acute upper gastrointestinal
bleeding.@*
METHODS@#The consecutively included
patients were divided into the
endoscopic hemostasis and nonendoscopic
hemostasis groups. We reviewed the enrolled patients’
medical records and analyzed various variables and
parameters for acute upper gastrointestinal
bleeding outcomes such as demographic factors, comorbidities, symptoms, signs,
laboratory findings, rebleeding rate, and
mortality to evaluate simple predictive factors for endoscopic
treatment.@*RESULTS@#A total of 613
patients were analyzed, including 329
patients in the
endoscopic hemostasis and 284
patients in the non-
endoscopic hemostasis groups. In the
multivariate analysis, a bloody nasogastric
lavage (adjusted
odds ratio [AOR], 6.786; 95%
confidence interval [CI], 3.990 to 11.543; p < 0.0001) and a
hemoglobin level less than 8.6 g/dL (AOR, 1.768; 95% CI, 1.028 to 3.039; p = 0.039) were independent predictors for
endoscopic hemostasis. Significant differences in the
morbidity rates of
endoscopic hemostasis were detected between the group with no predictive factors and the group with one or more predictive factors (OR, 2.677; 95% CI, 1.920 to 3.733; p < 0.0001).@*CONCLUSIONS@#A bloody nasogastric
lavage and
hemoglobin < 8.6 g/dL were independent predictors of
endoscopic hemostasis in
patients with acute upper gastrointestinal
bleeding.