Study on factors affecting the occurrence of upper gastrointestinal bleeding in elderly acute stroke patients undergoing rehabilitation - 06/12/24

Doi : 10.1007/s12603-011-0052-2

C. -M. Chen ^1,^2,³, Hung-Chih Hsu ^1,^4,^⁎ , Y. -W. Chuang ¹, C. -H. Chang ⁵, C. -H. Lin ¹, C. -Z. Hong ⁶

¹ Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Chiayi, Taiwan

² Chang Gung Institute of Technology, Chiayi Campus, Chiayi, Taiwan

³ College of Medicine, Chang Gung Univeisity, Taoyuan, Taiwan

⁴ Graduate Institute of Clinical Medical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan

⁵ Department of Nursing, Chang Gung Institute of Technology, Chiayi Campus, Chiayi, Taiwan

⁶ Department of Physical Therapy, Hung Kuang University, Taichung County, Taiwan

^{^b} Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Chiayi, No.6, W. Sec, Jiapu Rd, Puzih City, Chiayi County 613, Taiwan (R.O.C.) +886-5-3621000-2671 Department of Physical Medicine and Rehabilitation Chang Gung Memorial Hospital Chiayi, No.6, W. Sec, Jiapu Rd +886-5-3621000-2671 Puzih City, Chiayi County 613 Taiwan (R.O.C.)

connectez-vous ou créez un compte

Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.

Connectez-vous pour en bénéficier!

Abstract

Objective

To investigate factors affecting upper gastrointestinal bleeding (UGIB) in elderly first-time acute stroke patients undergoing rehabilitation.

Participants and setting

Three hundred and thirty-one elderly first-time acute stroke patients (age ≥65 years) transferred to our rehabilitative ward from July 2002 to June 2009 were included in the study.

Design

We divided patients into UGIB and non-UGIB groups. Demographic data and possible precipitating factors were analyzed.

Results

Sixty-eight (20.5%) patients experienced UGIB. The patients with UGIB were of older age (75.4 vs. 72.92 years, P = 0.003), had a longer rehabilitative ward stay (26.32 vs. 21 days, P = 0.002), more frequently had stroke-induced consciousness impairment (60.3 vs. 38%, P = 0.001), had a higher incidence of bilateral brain lesion (7.4 vs. 1.9%, P = 0.034), and more frequently used anticoagulants (17.6 vs. 9.1 %, P = 0.044) than patients in the non-UGIB group. In multivariate logistic regression analysis, stroke-induced impaired consciousness (odds ratio: 2.806, 95% CI = 1.588−4.957, P = 0.000) was the most important risk factor for UGIB.

Conclusions

UGIB may prolong a patient’s length of stay in a rehabilitative ward. These identified factors may help clinicians identify risks of UGIB before it develops.

Le texte complet de cet article est disponible en PDF.

Key words : Upper gastrointestinal bleeding, elderly, stroke, rehabilitation, consciousness

Plan

Introduction

Method

Participants and assessment procedures

Statistical analysis

Results

Discussion

Export

Vol 15 - N° 8

P. 632-636 - octobre 2011 Retour au numéro

Article précédent

Intensive dietary intervention by a dietitian as a case manager among community dwelling older adults: The edit study
Ronit Endevelt, J. Lemberger, J. Bregman, G. Kowen, I. Berger-Fecht, H. Lander, T. Karpati, D.R. Shahar

| Article suivant

First-generation versus third-generation comprehensive geriatric assessment instruments in the acute hospital setting: A comparison of the Minimum Geriatric Screening Tools (MGST) and the interRAI Acute Care (interRAI AC)
N.I.H. Wellens, M. Deschodt, J. Flamaing, P. Moons, S. Boonen, X. Boman, C. Gosset, J. Petermans, K. Milisen

Bienvenue sur EM-consulte, la référence des professionnels de santé.

connectez-vous ou créez un compte

Study on factors affecting the occurrence of upper gastrointestinal bleeding in elderly acute stroke patients undergoing rehabilitation - 06/12/24

Abstract

Objective

Participants and setting

Design

Results

Conclusions

Plan

Export citations

Fichier

Contenu

Accès rapides

Mon compte

Aide & support

Plateformes Elsevier Masson

Déclaration CNIL