Absence of high-risk stigmata predicts good prognosis even in severely anemic patients with suspected acute upper gastrointestinal bleeding.

ABSTRACT:

Background

The need for a blood transfusion, defined as hemoglobin < 70 g/L, is the measure for assessing the risk levels in patients with upper gastrointestinal bleeding (UGIB). However, not all patients with a low hemoglobin level have a poor prognosis.

Objective

We assessed the clinical predictive factors associated with poor short-term prognosis in patients with a low hemoglobin level.

Methods

In this prospective cohort study, all consecutive patients with suspected acute UGIB at Tokyo Metropolitan Tama Medical Center were enrolled between 2008 and 2015. Then, we extracted those who needed a blood transfusion (hemoglobin < 70 g/L) and explored the variables associated with all-cause mortality within 28 days after presentation.

Results

Among 1307 patients, 3

SUBMITTER: Horibe M 

PROVIDER: S-EPMC6068778 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature