Factors Associated with Mortality of Patients Undergoing Angiography for Massive Gastrointestinal Bleeding

Cheng-Hong Toh, Kee-Min Yeow*, Pei Kwei Tsay, Yun Chung Cheung, Jeng Hwei Tseng, Chien Fu Hung, Shu Hang Ng, Yung Liang Wan

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

Abstract

Acute massive gastrointestinal (GI) bleeding patients with negative endoscopic findings are frequently referred for emergent visceral angiography. The purpose of this study is to evaluate the factors associated with in-hospital mortality of these patients. The records of 97 consecutive patients who underwent emergent visceral angiography for acute massive GI bleeding between December 1998 and May 2002 were retrospectively reviewed. Statistical analysis of relevant factors was performed to determine contributions of these factors to in-hospital mortality. The impact of treatment on survival was analyzed in relation to the pre-angiography levels of significant clinical factors. In-hospital mortality occurred in 41.2% (40 of 97) of patients. Multivariate analysis identified association of comorbidity (p = 0.006), coagulopathy (p < 0.001), and conservative treatment (p = 0.005) associated with higher mortality. Non-conservative treatment significantly improved survival of patient with comorbidity (p = 0.001) or without coagulopathy (p = 0.011). In patients undergoing angiography for massive gastrointestinal bleeding, presence of comorbidity and coagulopathy, and conservative treatment are associated with higher mortality.

Original languageEnglish
Pages (from-to)353-360
Number of pages8
JournalChinese Journal of Radiology
Volume28
Issue number6
StatePublished - 12 2003

Keywords

  • Coagulopathy
  • Gastrointestinal hemorrhage
  • Hospital mortality

Fingerprint

Dive into the research topics of 'Factors Associated with Mortality of Patients Undergoing Angiography for Massive Gastrointestinal Bleeding'. Together they form a unique fingerprint.

Cite this