Int J Colorectal Dis (2017) 32:1327–1335 DOI 10.1007/s00384-017-2844-2 ORIGINAL ARTICLE Acute lower gastrointestinal haemorrhage: outcomes and risk factors for intervention in 949 emergency cases 1 2 1 1 Kheng-Seong Ng & Natasha Nassar & Deanne Soares & Patrick Stewart & 1,3 Marc A. Gladman Accepted: 20 June 2017 /Published online: 15 July 2017 Springer-Verlag GmbH Germany 2017 Abstract males and four times more likely in patients >75 years old and Purpose Outcomes of acute lower gastrointestinal haemor- those taking multiple anti-platelet/coagulant therapy rhage (ALGIH) are mostly derived from studies performed (P < 0.05). Blood product transfusion was required in 172 in the sub-acute/elective rather than the emergency depart- patients (34.5%), specialist investigations in 230 (46.2%) ment (ED) setting. The aims of this study were to determine and therapeutic intervention in 51 (10.2%) (surgery in 24 the incidence and outcomes of patients presenting to a tertiary [4.8%]; endoscopic haemostasis in 20 [4.0%] and angiograph- hospital ED with ALGIH and to identify associated clinico- ic embolisation in 9 [1.8%] patients). pathological risk factors. Conclusion ALGIH accounts for 1% of all ED presentations, Method A retrospective observational cohort study of consec- with half requiring hospital admission. Mortality and surgical utive patients presenting
International Journal of Colorectal Disease – Springer Journals
Published: Jul 15, 2017
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