International Journal of Children and Adolescents
مجله بین المللی کودکان و نوجوانان
IJCA
Medical Sciences
http://ijca.iums.ac.ir
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admin
2645-6435
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8888
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en
jalali
1395
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gregorian
2016
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online
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fulltext
fa
Incidence and risk factors of upper gastrointestinal bleeding in pediatric intensive care unit admitted patients
دیگر
Other
پژوهشي اصیل
Original Research
<p>Background and Objective: To assess the incidence and risk factors of upper gastrointestinal bleeding in children admitted to pediatric intensive care unit for more than 6 hrs.<br>
Methods: We prospectively collected medical records of children between 1 month and 18 years old admit-ted to our 10 bed PICU of a tertiary care university hospital between December 1, 2014 and May 30, 2015. De-mographic data, admission diagnosis and basic laboratory data were recorded. We defined upper gastrointestinal bleeding (UGI) as any evidence of blood in nasogastric aspirates, hematemesis and melena witnessed between minimum 6 hours to maximum 5 days after admission. We documented it and detected previously described factors for UGI bleeding such as mechanical ventilation, coagulopathy, organ failure, feeding, and drug prophy-laxis. Finally data were used in a multivariate analysis.<br>
Results: Of 157 medical records, 148 patients were eligible. The incidence of UGI bleeding was 34.45%. The most common indication for PICU admission was respiratory system dysfunction (32.2%). Mechanical ven-tilation, thrombocytopenia and prolonged PT and PTT were the significant factors in our study using univariate analysis and mechanical ventilation was the only significant risk factor using multivariate analysis<br>
Conclusion: The incidence of UGI bleeding in PICU admitted patients is significant and mechanical ventila-tion is the most important risk factor for GI bleeding.</p>
Incidence, Risk factor, Upper gastrointestinal bleeding
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http://ijca.iums.ac.ir/browse.php?a_code=A-10-1-33&slc_lang=fa&sid=1
Saeedeh
Haghbin
Haghbins@sums.ac.ir
1003194753284600219
1003194753284600219
No
Shiraz University of Medical sciences, Shiraz , Iran
Ali
Manafi Anari
amanafi55@yahoo.com
1003194753284600220
1003194753284600220
Yes
Iran University of Medical sciences, Tehran , Iran
Zahra
Serati
zserati@yahoo.co.uk
1003194753284600221
1003194753284600221
No
Shiraz University of Medi-cal sciences, Shiraz , Iran
Khashayar
Aflaki
aflakik@yahoo.com
1003194753284600222
1003194753284600222
No
Shiraz University of Medi-cal sciences, Shiraz , Iran
Behzad
|Haghighi Aski
haghighi_behzad@yahoo.com
1003194753284600223
1003194753284600223
No
Iran University of Medical sciences, Tehran , Iran
Mohamad Reza
Navaei far
dr.navaifar@gmail.com
1003194753284600224
1003194753284600224
No
Mazandaran University of Medical sciences, Sari , Iran