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News

Emergency readmission following acute upper GI bleeding

The latest issue of the European Journal of Gastroenterology & Hepatology assessed the occurrence, clinical predictors, and associated mortality of all-cause emergency readmissions after acute upper gastrointestinal bleeding.

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Dr Martin Strömdahl and colleagues assessed the occurrence, clinical predictors, and associated mortality of all-cause emergency readmissions after acute upper gastrointestinal bleeding.

All patients with acute upper gastrointestinal bleeding from an area of 600,000 inhabitants in Sweden admitted in a single institution in 2009–2011 were retrospectively identified.

The researchers scrutinized all medical records, and relevant data were extracted.

The team found that 17% of 1056 patients discharged alive following acute upper gastrointestinal bleeding had an emergency readmission within 30 days.

19% of readmissions were because of rebleeding
European Journal of Gastroenterology & Hepatology

The research team observed that 19% of readmissions were because of rebleeding, whereas the rest were because of other reasons, mainly bacterial infections, and cardiovascular events.

Inhospital mortality did not differ significantly between index admissions and readmissions.

The team showed that only a higher Charlson comorbidity index was related to emergency readmission.

Bisphosphonate use, previous acute upper gastrointestinal bleeding, and length of stay at index admission were found to be independent predictors of postdischarge rebleeding.

Dr Strömdahl's team comments, "All-cause emergency readmission following acute upper gastrointestinal bleeding is frequent."

"It is related to rebleeding in one-fifth of cases and mortality is similar to that in index admissions."

"The presence of comorbid illness appears to predict readmissions."

"Reduced length of stay and bisphosphonate use appear to be important, potentially modifiable, predictors of postdischarge rebleeding."

Eur J Gastroenterol Hepatol 2017: 29(1): 73–77
15 December 2016

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