Upper digestive bleeding in the emergency service of the Hospital San Rafael de Alajuela
DOI:
https://doi.org/10.51481/amc.v41i4.530Keywords:
Upper gastrointestinal bledding, acid-peptic disease, blood transfution, emergency roomAbstract
Justification: The upper gastrointestinal bleeding is one of most relatively frecuent causes to attend in the Emergency Room. It's important to analize the causes and cost of treatment, in order to establish adequate care and treatment norms.
Objetive: To determinate the characteristics ofthe population of patients attending the Emergency Room of the Hospital San Rafael de Alajuela, as well, the main causes of bleeding and to evaluate the treatment with blood transfusion.
Methods: A prospective-descriptive study was carried on with the following inclusion criteria: age over 15 years old, attendance to Emergency Room due to upper gastrointestinal bledding, and having endoscopy procedure done during hospitalization. fie information was collected through a questionaire. Complete information was obtained in 60 patients.
Results: From the total, 76.6% were men, 23,3% has history of alcoholic ingestion, 38% had history of recient intake of a non steroidal anti-inflamatory drugs and 25% had history of a previous bleeding. The main clinical manifistation was melena in 77% of the cases. The main aetiologic cause was the acidpeptic disease (63.4%). In total of 20 liters of
wrapped blood cells and 1.5 liters oftotal blood were used in the 29 patients who needed blood transfusion.
Conclusion: The upper gastrointestial bleeding is not a frequent cause of attendance to the Emergency Room. However, it requieres relatively long periods of observation (up of24 hours in 70% ofthe patients).
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