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Abstract
The aim of this study was to evaluate the prevalence of and risk factors for GIT bleeding in ICU patients in Suez Canal University hospital.
246 patients were included in this study. Patients were followed up until discharged or died.
Target population was patients who fulfilled the inclusion criteria during the study period and free of exclusion criteria.
Data sheet containing clinical history, physical examination and laboratory investigations was used for data collection.
The mean age of the patients was 55.3 ± 18.7 year in the bleeder group and 48.8 ± 12.5 year in the non bleeder group.
The common causes of admission were trauma patients (head, spinal and multiple trauma) they were 56 patients (22.8%) and chest problems, they were 52 patients (21.1%).
This study show that the incidence of overt bleeding was 15% (37 patients of the studied group 246 patients), of them 11 patients (4.5%) had large volume of blood loss more than 500 cc (major bleeding) and 26 patients (10.5%) had had minor blood loss (less than 500cc). 8 of them (3.3%) needed blood transfusion less than 500cc /24 hours while only 3 patients (1.2%) needed more than 500cc/ 24 hours.
Risk factors included age, history of a drug intake( anticoagulants, steroids and NSAIDs, presence of comorbid conditions however there was no significant difference between both groups regarding induction of mechanical ventilation as a management modality.
Our study show that prognosis and mortality rate of the studied patients was 67.6% of bleeder group died compared with 45.9% of non bleeder group, while the patients discharged to the ward with reasonable prognosis were 54% in non bleeder group versus 32.4% in the bleeder group.
Conclusion
o Prevalence of GIT bleeding in our study was 15% however, severe bleeding was only 4.5% and small amount bleeding was 10.5% among the group.
o The risk factors for this problem in this study included age, drug intake( anticoagulants, steroids and NSAIDs, presence of comorbid conditions however there was no significant difference between both groups regarding induction of mechanical ventilation as a modality of management.