Prevalence of stress related GI bleeding in children at a tertiary care hospital
Keywords:
Gastro-Intestinal Bleeding, Endoscopy, PICU, CoagulopathyAbstract
Introduction: Though the upper gastro-intestinal bleeding is relatively uncommon condition in children who are admitted in paediatric intensive care unit (PICU) but it continues to pose a critical challenge in the management. This present study was undertaken to assess the prevalence of gastrointestinal bleeding due to stress and its associated risk factors. Materials and Methodology: All the available medical records of the children who are younger than 15 years admitted to the PICU were retrospectively studied. The basic indications for the in-patient admission comprised of respiratory/cardiovascular failure, shock, coma, post-operative care and patients requiring intensive monitoring. Demographic data, indications for PICU admission and principal diagnosis as well as basic laboratory investigations were recorded. Cross-tabulations were analysed using the chi square test, represented as the odds ratio and 95% confidence interval, in which P < 0.05 was considered statistically significant. Results: A total of 200 charts were eligibly reviewed. There were 89 males (52.4%) with an average age of 3.8 years. The most common indication for PICU admission was respiratory failure (48.8%). GI bleeding complicated 43.5% of cases admitted to the PICU and 5.3% had clinically significant bleeding.
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