Study on factors affecting the occurrence of upper gastrointestinal bleeding in elderly acute stroke patients undergoing rehabilitation - 06/12/24
, Y. -W. Chuang 1, C. -H. Chang 5, C. -H. Lin 1, C. -Z. Hong 6
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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.
Il testo completo di questo articolo è disponibile in PDF.Key words : Upper gastrointestinal bleeding, elderly, stroke, rehabilitation, consciousness
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Vol 15 - N° 8
P. 632-636 - ottobre 2011 Ritorno al numero
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