Journal of Medical and Surgical Intensive Care Medicine Online Early
Retrospective Evaluation of Critical Care Patients with Upper Gastrointestinal System Bleeding
Özlem ÖZKAN KUŞCU 1 ,Dursun ELMAS 2 ,Murat ERDOĞAN 3 ,Burcu ARSLAN BENLİ 4 ,Ümit KARAOĞULLARINDAN 5 ,Meltem AKTAY İNAL 6 ,Dilek DESTEGÜL 7 ,Sedef KURAN 4 ,Emre KARAKOÇ 4
1Adana Seyhan Devlet Hastanesi, Yoğun Bakım, Adana, Türkiye
2Konya Eğitim Araştırma Hastanesi, Dahiliye Yoğun Bakım, Konya, Türkiye
3Adana Şehir Hastanesi, Dahiliye Yoğun Bakım, Adana, Türkiye
4Çukurova Üniversitesi Tıp Fakültesi , Dahiliye Abd, Adana, Türkiye
5Kahramanmaraş Necip Fazıl Şehir Hastanesi , Gastroenteroloji, Kahramanmaraş, Türkiye
6Adana Seyhan Devlet Hastanesi , Anesteziyoloji Ve Reanimasyon, Adana, Türkiye
7Niğde Ömer Halisdemir Üniversitesi Tıp Fakültesi, Anesteziyoloji Ve Reanimasyon, Niğde, Türkiye
DOI : 10.33381/dcbybd.2019.2132 Aim: Upper gastrointestinal bleeding is an important cause of mortality and morbidity. The aim of this study is to evaluate the risk factors of mortality in patients admitted to medical ICU with upper gastrointestinal bleeding.

Methods: Patients admitted to medical ICU with upper GI bleeding or patients with new onset GIS bleeding during the ICU stay between January 2010- December 2016 were included. Patient datas were recorded from the hospitals database retrospectively.

Results: There were 3990 patients between the study period. One hundred seventy six of these patients had gastrointestinal bleeding and enrolled the study. One hundred seventeen (66,5%) of 176 patients were male, 59 (33,5%) were female. Mean age of the patients was 63±16 years. While the number of the patients who underwent endoscopy procedure was 152 (86,4%); mortality rate of these patients was 46,1%; and 91,7% for the patients who did not undergo the endoscopy procedure. Mortality rates of patients with variceal and nonvariceal bleeding diagnose were 46% and 47,6%. Uremia, renal failure, increase of the leucocyte count during the follow up, coagulopathy, increased demand of erythrocyte suspension and lack of endoscopy procedure were determined as risk factors for mortality.

Conclusion: Upper gastrointestinal bleeding in the intensive care unit is a situation which is with high mortality rate. Higher APACHE II Score, presence of comorbidities are determinants of prognosis. Keywords : Upper Gastrointestinal Bleeding, Critical Patient, StressUlcer, Upper GIS