tailieunhanh - Characteristics of non variceal upper gastrointestinal bleeding and factors related to recurrence at Hanoi medical university hospital, Vietnam

The study aims to evaluate the characteristics of non-variceal upper gastrointestinal bleeding and identify correlating factors of recurrent bleeding. A retrospective descriptive study was conducted on non-variceal upper gastrointestinal bleeding patients admitted to Hanoi Medical University Hospital with ICD 10 code from January 2013 to March 2017. There were 444 patients with the mean age of (). There were of patients with co-morbidities in which had history of upper gastrointestinal bleeding. | JOURNAL OF MEDICAL RESEARCH CHARACTERISTICS OF NON-VARICEAL UPPER GASTROINTESTINAL BLEEDING AND FACTORS RELATED TO RECURRENCE AT HANOI MEDICAL UNIVERSITY HOSPITAL, VIETNAM Nguyen Phuc Binh1, Dao Viet Hang1,2, Tran Quoc Tien2, Dao Van Long1,2 1 Hanoi Medical University Hospital; 2Hanoi Medical University Hospital Upper gastrointestinal bleeding is an emergency requiring immediate management and cooperation of many specialties. Among the causes of upper gastrointestinal bleeding, non-variceal upper gastrointestinal bleeding has the highest percentage. Initial assessment, prognosis factor classification and suitable interventions will help to reduce recurrent bleeding rate. The study aims to evaluate the characteristics of non-variceal upper gastrointestinal bleeding and identify correlating factors of recurrent bleeding. A retrospective descriptive study was conducted on non-variceal upper gastrointestinal bleeding patients admitted to Hanoi Medical University Hospital with ICD 10 code from January 2013 to March 2017. There were 444 patients with the mean age of (). There were of patients with co-morbidities in which had history of upper gastrointestinal bleeding. The median Rockall score was 3 and the median Glasgow-Blatchford Bleeding Score (GBS) was 7. The rate of endoscopic interventions was in which achieved success. The rate of recurrent bleeding in hospital was and within 30 days after discharge was . There was no difference of recurrence in the groups performed mono and combined therapies. Glasgow-Blatchford Score and Rockall score had low prognosis performance for in-hospital recurrence. In conclusion, the rate of recurrence both in hospital and within 30 days in non-variceal upper gastrointestinal bleeding patients was low. Keywords: non-variceal upper gastrointestinal bleeding; epidemiology; recurrent bleeding; related factors I. BACKGROUND causes could be various including peptic ulcer, Mallory Weiss, .