Upper gastrointestinal bleeding in neck of femur fracture patients: a single tertiary centre experience

Liu, Jessamine, Gupta, Rohit, Hay, Karen, Pulle, Chrys, Rahman, Tony, and Pandy, Shaun (2018) Upper gastrointestinal bleeding in neck of femur fracture patients: a single tertiary centre experience. Internal Medicine Journal, 48 (6). pp. 731-735.

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Abstract

This study aimed to identify the incidence of perioperative acute upper gastrointestinal bleeding (UGIB) in our hip fracture patients; to evaluate the characteristics, management and clinical outcomes of these patients; and to explore risk factors and protective factors. Of the 1691 consecutive patients admitted for surgical management of hip fractures, 11 (0.65%) had UGIB and a further four patients for each case were selected as controls for evaluation of risk factors and protective factors. Pre-existing peptic ulcer disease was identified as a risk factor for acute UGIB (odds ratio 7.9; 95% confidence interval: 1.1-54.9). This study reported a very low incidence of UGIB in hip fracture patients. Despite being a high-risk population, timely endoscopic evaluation can be safely undertaken to optimise patient outcome. When risk factors such as history of peptic ulcer disease are present, additional precaution including gastro-protective agent and nutritional support should be undertaken.

Item ID: 54436
Item Type: Article (Research - C1)
ISSN: 1445-5994
Keywords: perioperative, upper gastrointestinal bleeding, neck of femur fracture, geriatric
Copyright Information: Copyright © 2018 Royal Australasian College of Physicians
Date Deposited: 04 Jul 2018 07:53
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110323 Surgery @ 100%
Downloads: Total: 1
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