Resumen

Introduction and objectives: Upper gastrointestinal bleeding (UGB) is one of the main causes of morbidity and mortality in the elderly. The objective was to determine the endoscopic findings in older adults according to each anatomical location as well as identify an association between smoking, polypharmacy, and gender to UGB in older patients. Materials and methods: This is a descriptive, transversal, analytical, and retrospective study. Medical records of patients with UGB requiring diagnostic endoscopy who were admitted to the emergency room over a period of 3 years were included in the study. Descriptive and inferential statistics as well as ×2 and multivariate logistic regression was used. Results: Mean age was 73 years; there were 51.5% (n = 295) of women. We found 173 single lesions, 107 double, and 15 triple lesions. We found an OR of 4.25 (95% CI 2.11-8.54) for polypharmacy and an OR of 3.26 (95% CI 1.45-7.3) for smoking. Conclusions: The most frequent finding was erosive gastropathy and the association with polypharmacy reached a p = 0.05, this being one of the main probable causes of UGB.

Palabras clave: upper gastrointestinal bleeding elderly endoscopy polypharmacy erosive gastropathy.

2018-05-23   |   686 visitas   |   Evalua este artículo 0 valoraciones

Vol. 4 Núm.1. Enero-Junio 2018 Pags. 19-22 J Lat Am Geriatric Med 2018; 4(1)