Predictive factors of organ failure in patients admitted in intensive care unit for acute gastrointestinal bleeding

Gastrointestinal hemorrhage is an emergency requiring usually an admission in intensive care unit (ICU), which may prove abusive secondarily. The aim of this study was to identify predictive risk factors of organ failure in patients admitted for GH in our ICU. Retrospective and observational Between...

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Bibliographic Details
Published in:Annales françaises d'anesthésie et de réanimation 2013-09, Vol.32 (9), p.560-564
Main Authors: Puymirat, Y, Hachouf, M, Doassans-Cazaban, G, Poullenot, F, Lefévre, L, Winnock, S, Ouattara, A
Format: Article
Language:fre
Subjects:
Acute Disease
Aged
Biomarkers - blood
Critical Care
Endpoint Determination
Female
Gastrointestinal Hemorrhage - complications
Gastrointestinal Hemorrhage - epidemiology
Hospital Mortality
Humans
Length of Stay
Liver Cirrhosis - complications
Male
Middle Aged
Multiple Organ Failure - epidemiology
Multiple Organ Failure - etiology
Prognosis
Retrospective Studies
Risk Factors
Troponin - blood
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Summary:Gastrointestinal hemorrhage is an emergency requiring usually an admission in intensive care unit (ICU), which may prove abusive secondarily. The aim of this study was to identify predictive risk factors of organ failure in patients admitted for GH in our ICU. Retrospective and observational Between January 2008 and December 2011, all patients admitted in our ICU for gastrointestinal hemorrhage were consecutively included. The primary endpoint was the occurrence of at least an organ failure. We realized an univariate analysis then a backward regression to identify independent risk factors associated with the occurrence of at least one organ failure during the ICU hospitalization. During this period study, 441 consecutive patients with a mean age of 67±15years were included. The median ICU length of stay was of 4 (3-7) days and 116 (26% [IC95%: 22-30]) patients presented at least one organ failure. The multivariate analysis identified predictive risk factors of organ failure: history of cirrhosis (OR=3.5 [IC95%: 1.9-6.7], P
ISSN:1769-6623
DOI:10.1016/j.annfar.2013.06.009