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dc.contributor.authorYuwares Sittichanbunchaen_US
dc.contributor.authorSuthasinee Senasuen_US
dc.contributor.authorTheerayut Thongkrauen_US
dc.contributor.authorChaiyapon Keeratikasikornen_US
dc.contributor.authorKittisak Sawanyawisuthen_US
dc.contributor.otherMahidol Universityen_US
dc.contributor.otherKhon Kaen Universityen_US
dc.identifier.citationGastroenterology Research and Practice. Vol.2013, (2013)en_US
dc.description.abstractHematochezia is one of common gastrointestinal complaint at the Emergency Department (ED). Causes may be due to upper (UGIB) or lower (LGIB) gastrointestinal tract bleeding. Here, clinical factors were studied to differentiate sites of bleeding in patients with hematochezia. All patients with an age of more than 18 years who were diagnosed with GIB at the ED, Ramathibodi Hospital, Thailand were enrolled. Patients who presented with hematochezia and received complete workups to identify causes of bleeding were studied and categorized as being in the UGIB or LGIB groups. There were 1,854 patients who presented with GIB at the ED. Of those, 76 patients presented with hematochezia; 30 patients were in the UGIB group, while 43 patients were in the LGIB group. Clinical variables between both groups were mostly comparable. Three clinical factors were significantly associated with UGIB causes in patients with hematochezia including systolic blood pressure, hematocrit level, and BUN/Cr ratio. The adjusted odds ratios for all three factors were 0.725 (per 5 mmHg increase), 0.751 (per 3% increase), and 1.11 (per unit increase). Physicians at the ED could use these clinical factors as a guide for further investigation in patients who presented with hematochezia. © 2013 Yuwares Sittichanbuncha et al.en_US
dc.rightsMahidol Universityen_US
dc.titleHow to differentiate sites of gastrointestinal bleeding in patients with hematochezia by using clinical factors?en_US
Appears in Collections:Scopus 2011-2015

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