Management of Patient with Acute Gastrointestinal Bleeding in the Emergency Department and Factors that Affecting their Outcome
Background: Acute digestive hemorrhage is a life-threatening condition for the patient and requires immediate nursing care and effective treatment. Aim: The purpose of this study was to investigate the acute bleeding of the upper and lower digestive tract and to treat it in patients entering the emergency department with the ultimate goal of their outcome. Material and Method: The study was observational and the sample consisted of 72 patients from a Piraeus tertiary hospital from June to September 2016. A structured questionnaire was used to collect the data according to the needs of the study. The statistical packet used to record and analyze data was SPSS 19.0. Results: The mean age was 62.3 years, with 37.5% men. At 62.5%, they came to the EDF with bloodshed. Emergency introspection was performed at 85.9% and at 50.0% therapeutic endoscopy was performed. A high percentage (51.4%) of patients were admitted to the hospital for further hospitalization. As for correlations, the patients who were hospitalized had significantly higher age and higher INR and urea values while having lower hematocrit and hemoglobin values (p<0.001). Conclusions: Management of acute hemorrhage in EDF plays a major role on patients’ outcome. Direct investigation of the incidents contributes primarily to an urgent introspection, which is a highly reliable method for dealing with them and their faster outcome.
|Volume 58, N 1
|Eugenia Kaso , Alexandros Kantianis , Vasiliki Mouka , Georgios Vasilopoulos , Geogia Toulia , Maria Polikandrioti , Eleni Dokoutsidou