Suliman, N., Jahany, M. (2023). Significance of Adequate Upper Gastrointestinal Bleeding Management Planning on Healthcare Outcomes: A Review of Current Literature. The Egyptian Journal of Hospital Medicine, 91(1), 4399-4404. doi: 10.21608/ejhm.2023.296399
Naseralla J E Suliman; Marei O Ali Jahany. "Significance of Adequate Upper Gastrointestinal Bleeding Management Planning on Healthcare Outcomes: A Review of Current Literature". The Egyptian Journal of Hospital Medicine, 91, 1, 2023, 4399-4404. doi: 10.21608/ejhm.2023.296399
Suliman, N., Jahany, M. (2023). 'Significance of Adequate Upper Gastrointestinal Bleeding Management Planning on Healthcare Outcomes: A Review of Current Literature', The Egyptian Journal of Hospital Medicine, 91(1), pp. 4399-4404. doi: 10.21608/ejhm.2023.296399
Suliman, N., Jahany, M. Significance of Adequate Upper Gastrointestinal Bleeding Management Planning on Healthcare Outcomes: A Review of Current Literature. The Egyptian Journal of Hospital Medicine, 2023; 91(1): 4399-4404. doi: 10.21608/ejhm.2023.296399
Significance of Adequate Upper Gastrointestinal Bleeding Management Planning on Healthcare Outcomes: A Review of Current Literature
Background: Gastrointestinal bleeding is a frequent medical emergency with a steady 10% mortality rate for 20 years. Upper gastrointestinal bleeding is an increasing global health issue requiring quick evaluation, resuscitation, coagulation correction, and interventions. Objectives: The study aimed to evaluate if a comprehensive approach involving quick evaluation, resuscitation, coagulation correction, and timely diagnostic or therapeutic intervention can improve outcomes of upper gastrointestinal bleeding patients. Patients and Methods: The retrospective analysis examined hospital records of 224 patients with upper gastrointestinal bleeding proximal to the Treitz ligament admitted to Al-Jalla Hospital from January to December 2021. The study collected clinical presentation, investigation, and outcome data through a specialized form. Results: The study analyzed 224 patients with upper gastrointestinal bleeding, with 65% male preponderance and almost half being over 60 years old. The majority (79.5%) were admitted to general surgical wards, and melena was the most common symptom (72%). Endoscopic findings revealed duodenal ulcer, gastric ulcer, and erosive gastritis in 21% of cases each, and erosive esophagitis in 9%. The mortality rate was 16%, with higher rates observed in patients over 60 years. Conclusion: The study found a mortality rate of 16% in the patient population, indicating a need for more resources and a more comprehensive approach to patient management.
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