Article

Prognostic Factors Of Patients with Upper Gastrointestinal Bleeding (UGIB) in Hospital Sultanah Nora Ismail, Johor
Vol. 4 Issue 1 : 2016

Abstract

Patients with upper gastrointestinal bleeding (UGIB) has high risk of mortality despite the advancement in technology and treatment options. This study was conducted to identify the prognostic factors of patients with UGIB. This retrospective (record review) study involved patients diagnosed with UGIB between 1st January 2011 and 31st December 2013 in adult wards (surgical, medical and orthopedic) and intensive care unit. Individual and clinical characteristics were the variables under study and outcome was taken as time of diagnosis till death due to the disease. Data was analysed by STATA version 11 using multivariable cox proportion hazard regresion analysis. Among 263 patients diagnosed with UGIB , 62 patients were event (death due to UGIB) and 201 patients were censored (death due to other disease, loss to follow up, discharge, transfer to other hospital or alive until the end of the study). Multivariable cox proportion hazard regresion analysis found patients with variceal bleeding were at 3.69 times (95% CI: 1.31, 10.45) risk of mortality than patients with non-variceal bleeding (p=0.013). Patients with comorbidity were at 26.37 times (95% CI: 3.51, 198.26) risk of mortality than patients without comorbidity or unknown status (p=0.001). Aetiology and comorbidity (clinical characteristics) were the prognostic factors for patients with UGIB.