GASTROINTESTINAL BLEEDING;

PREVALENCE AND RISK FACTORS ASSOCIATED WITH GASTROINTESTINAL BLEEDING AMONG MECHANICALLY VENTILATED PATIENTS.

  • Mujtaba Jaffary Continental Medical College Lahore.
  • Nida - Fatima Memorial College of Medicine and Dentistry, Lahore.
  • Saeed Ahmad Khan Bolan Medical College Hospital Quetta
Keywords: Prevalence, Risk Factors, Gastrointestinal Bleeding, Mechanically Ventilated

Abstract

Background: Gastrointestinal bleeding (GIB) among patients with critical illness is one of the leading sources of mortality and morbidity. The prevalence of GIB differs from 15-50 percent during first 24 hours stay in intensive care unit. Mechanical ventilation is a most leading risk factor of GIB among patients admitted in ICU (intensive care unit). Objectives: The objective of the study is to know the prevalence and risk factors associated with gastrointestinal bleeding among mechanically ventilated patients. Study Deign: Retrospectively study. Setting: Ch Rehmat Ali Memorial Trust Hospital, Lahore. Period: 1st October 2017 to 31st March 2018. Materials and Method: A group of 120 patients in intensive care unit who received mechanical ventilation for a period of 48 hours or above were included. Results: Among 56 patients with gastrointestinal bleeding, mean age was 49.2±12.1, mean length of ICU stay was 29.2±16.6 and mean duration of ventilation was 30.2±20.5. Among 64 patients with no gastrointestinal bleeding, mean age was 51.9±15.0, mean length of ICU stay was 12.7±6.8 and mean duration of ventilation was 13.5±7.9. There were 12 (21.1%) mortalities among patients with gastrointestinal bleeding and 10 (15.6%) mortalities among patients with no gastrointestinal bleeding. Conclusion: Study concluded that length of ICU stay, duration of ventilation, renal failure, liver failure and mortalities were more among patients with gastrointestinal bleeding.

Author Biographies

Mujtaba Jaffary, Continental Medical College Lahore.

MBBS, MRCP (UK)

Associate Professor

Department of Medicine

 

Nida -, Fatima Memorial College of Medicine and Dentistry, Lahore.

MBBS, M. Phil (Physiology)

Assistant Professor

 

Saeed Ahmad Khan, Bolan Medical College Hospital Quetta

FCPS (Medicine)

Associate Professor

Department of Medicine Unit-1

 

Published
2019-03-10