In this study, doctors from the United States identified characteristics associated with in-hospital mortality in a large cohort of patients with lower intestinal bleeding.
Dr Lisa Strate and colleagues used the 2002 Healthcare Cost and Utilization Project Nationwide Inpatient Sample to study 227,022 hospitalized patients with lower intestinal bleeding.
The team determined predictors of mortality using multiple logistic regression.
|3.9% of patients with lower intestinal bleeding died while in hospital.|
|Clinical Gastroenterology and Hepatology|
The doctors found that, in 2002, an estimated 3.9% of patients with lower intestinal bleeding died while in hospital.
They identified several independent predictors of in-hospital mortality. These included age, intestinal ischemia, comorbid illness, bleeding while hospitalized for a separate process, coagulation defects, hypovolemia, transfusion of packed red blood cells, and male gender.
The doctors found that colorectal polyps, hemorrhoids, and diagnostic testing for lower intestinal bleeding were associated with a lower risk of mortality.
Dr Strate’s team concluded, “The all-cause in-hospital mortality rate in lower intestinal bleeding was low”.
“Advanced age, intestinal ischemia, and comorbid illness were the strongest predictors of mortality.”