Question: What are predictors of poor outcome in patients presenting with bleeding ulcers?
Answer:
- Elderly patients (age > 60yr)
- Patients with fresh blood per NG tube or rectum
- Patients who remain hemodynamically unstable despite aggressive resuscitative measures
- Patients who have four or more comorbid illnesses (e.g., cardiac disease, liver disease, diabetes) NSAID use
Reference: Sleisenger MH, Fordtran JS (eds): Gastrointestinal Disease: Pathophysiology, Diagnosis, and Management, 7th ed. Philadelphia, W.B. Saunders, 2003.
