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Volume 2, Issue 2 (5-2016)                   IJCA 2016, 2(2): 11-16 | Back to browse issues page

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Haghbin S, Manafi Anari A, Serati Z, Aflaki K, |Haghighi Aski B, Navaei far M R. Incidence and risk factors of upper gastrointestinal bleeding in pediatric intensive care unit admitted patients. IJCA 2016; 2 (2) :11-16
URL: http://ijca.iums.ac.ir/article-1-61-en.html
Iran University of Medical sciences, Tehran , Iran
Abstract:   (3342 Views)

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.
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.
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
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.

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Type of Study: Original Research | Subject: Other

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