Lower gastrointestinal bleeding in patients admitted to a university hospital

• DOI: https://doi.org/10.22533/at.ed.1595162524033

• Palavras-chave: Colonoscopia; Hemorragia Gastrointestinal; Pesquisa sobre Serviços de Saúde

• Keywords: Colonoscopy; Gastrointestinal Hemorrhage; Health Services Research.

• Abstract:

  Objective: To understand the epidemiological profile of cases of lower gastrointestinal bleeding (LGE) with evidence of visible bleeding in the form of hematochezia, bloody diarrhea or melena in patients admitted to HUUFPI. Methods: Analytical cross-sectional study of 44 cases of CDH (2016-2017). SADT reports and electronic medical records of patients with HDB were analyzed. Associations and odds ratios between sociodemographic variables, colonoscopy findings and death were investigated. The in-hospital mortality rate (IMR) was calculated and compared with the literature. The study was approved by the HUUFPI's CEP under opinion no. 3.058.406. Results: The 44 cases of HDB had a balanced distribution between men and women, a mean age of 57 years, colitis and diverticulosis were the main findings on videocolonoscopy. On upper digestive endoscopy, the main findings were varices and gastritis/esophagitis. Chronic conditions were common in the series studied. The IMR was 16.2%, higher than in the literature. Conclusion: The prevalent profile of people with HDB was that they came from the countryside and received elective care. The IMR for HDB at HUUFPI was higher than that described in the literature. Prospective studies with a larger cohort are needed to confirm these associations and identify independent risk factors for the findings identified and the outcomes analyzed.