Características epidemiológicas, clínicas, endoscópicas en pacientes con hemorragia digestiva alta. Área de clínica del Hospital Vicente Corral Moscoso 2014-2016

Abstract

Background: Upper gastrointestinal bleeding (UGIB) is the most frequent gastroenterological emergency. General objective: To determine the epidemiological, clinical, and endoscopic characteristics in patients with upper gastrointestinal bleeding in the clinical area of Hospital Vicente Corral Moscoso, 2014-2016. Methodology: Descriptive-quantitative study, the population of 272 patients with UGIB, the collection is expected by form. SPSS version V.23 was used for the analysis, qualitative variables are presented with percentages and percentages; the quantitative variables with mean and standard deviation. Results: We reviewed 272 clinical records that met the inclusion criteria. In non-variceal HDA the masculine sex was predominant 59%, the age of presentation was 64 years in 58%, 17% recurred and the mortality of 7%. Heart disease was the most frequent comorbidity 36%, peptic ulcer was the main endoscopic finding 66%. The score Rockall from 0 to 2 in 50% and Glasgow Blatchford ≥12 55%. HDA variceal presented 64% in males, age was 44 to 64 years 49%, 38% recurred and mortality 16%. Hepatopathy was the most frequent comorbidity 72%, the main endoscopic finding was esophageal varices 66%; the score Rockall from 2 to 4 at 50% and Glasgow Blatchford ≥12 55%. Conclusions: The annual frequency of HDA was 6%, of which 4% and 2% corresponded to non-variceal and variceal HDA, respectively.