Health Questions and Answers

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.

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