Publication: Predictors of non-significant endoscopic findings in patients with suspected upper gastrointestinal tract hemorrhage
Issued Date
2005-09-01
Resource Type
ISSN
01252208
01252208
01252208
Other identifier(s)
2-s2.0-31544453073
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.88, No.9 (2005), 1207-1213
Suggested Citation
Preeda Sumritpradit, Suwat Tangkittimasak, Panuwat Lertsithichai Predictors of non-significant endoscopic findings in patients with suspected upper gastrointestinal tract hemorrhage. Journal of the Medical Association of Thailand. Vol.88, No.9 (2005), 1207-1213. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/16822
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Title
Predictors of non-significant endoscopic findings in patients with suspected upper gastrointestinal tract hemorrhage
Other Contributor(s)
Abstract
Objectives: The objective of the present study was to determine pre-endoscopic predictive factors of non-significant endoscopic findings in patients with suspected upper gastrointestinal tract hemorrhage (UGIH). Material and Method: Medical records of 187 patients admitted with the primary diagnosis of UGIH were reviewed. Non-significant endoscopic findings were defined as "normal", "mild gastritis" or unspecified gastritis with a hospital stay of two days or less. Possible predictors of non-significant endoscopic findings included pertinent history, physical examination, nasogastric tube aspirate, routine laboratory findings, and units of infused packed red cells (PRC). Multiple logistic regression analysis was used to determine significant predictors. Results: Predictors of non-significant endoscopic findings included the absence of comorbid diseases (OR: 6.4; 95%CI: 3.0-13.6), higher platelet count (OR: 1.7 per 100,000 increase; 95%CI: 1.1-2.5) and less PRC infusion (OR: 1.9 per unit decrease; 95%CI: 1.3-2.7). Conclusion: Patients with UGIH who may have a negative EGD can be identified prior to endoscopy.