Publication: Upper Gastrointestinal Bleeding among Patients Admitted in Department of Emergency in a Tertiary Care Centre: A Descriptive Cross-sectional Study
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Introduction: Upper gastrointestinal bleeding is a common medical emergency with significant morbidity and mortality. Its causes can be classified under variceal bleeding or non-variceal bleeding. Peptic ulcer and variceal bleeding are common causes. Thus, this study aims to find the prevalence of upper gastrointestinal bleeding among patients attending the Department of Emergency in a tertiary care centre.
Methods: This was a descriptive cross-sectional study conducted on patients admitted to the Department of Emergency a tertiary care centre from September 2020 to August 2021 among 3375 patients. The ethical approval was obtained from the Institutional Review Committee of the hospital (Reference number: 328). Patients presenting with the clinical features of upper gastrointestinal bleeding in the form of hematemesis or melena were enrolled after written informed consent. Data entry was done in Statistical Packages for the Social Sciences version 20.0. for descriptive analysis. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage for binary data.
Results: Out of 3375 admissions in the Department of Emergency, 85 (2.52%) (1.99-3.05 at 95% Confidence Interval) patients presented with upper gastrointestinal bleeding.
Conclusions: The prevalence of upper gastrointestinal bleeding is lower in comparison to other studies done in similar settings.
Description
Binod Karki
Department of Medicine, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
Tshering Wangdi Sherpa
Department of Medicine, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
Egesh Aryal
Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
https://orcid.org/0000-0002-2486-6525
Alisha Adhikari
Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
https://orcid.org/0000-0001-7210-806X
Binit Upadhaya Regmi
Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
https://orcid.org/0000-0002-9601-2457
Srijana Katwal
Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
https://orcid.org/0000-0003-1644-2666
Sujit Kumar Mandal
Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
https://orcid.org/0000-0001-9840-5257
Rajeeb Kumar Deo
Department of Medicine, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal
Pravakar Dawadi
Nepalese Army Institute of Health Sciences, Sanobharyang, Kathmandu, Nepal
https://orcid.org/0000-0002-8355-429X
Keywords
Bleeding, Emergency medicine, Upper gastrointestinal tract, Varices