Upper XXXX : risk factors for mortality in two urban centres in Latin America.

@entity1 @entity66 @entity548 @entity204 @entity360
OBJECTIVE: To describe the experience with @entity360 in two major Latin American hospitals; presenting its main causes, treatment, and prognosis, while exploring some risk factors associated with @entity204 . DESIGN: Prospective cohort study. @entity1 AND METHODS: Four hundred and sixty four @entity1 were admitted into any of the 2 hospitals and were at least 15 years of age. Some variables demographics, clinics and treatment were studied. The association between those variables and the @entity204 were explored. RESULTS: Mean age was 57.9 years; the @entity1 : @entity1 ratio was 1.4:1. Three hundred and fifty nine @entity1 (77.3%) presented as outpatients and 105 @entity1 (22.6%) were inpatients presenting with UGIB. 71.6% of @entity1 had an upper GI endoscopy within 24 hours. The main causes of @entity548 were peptic ulcer (190 @entity1 , 41%), @entity66 (162 @entity1 , 34.9%) and variceal @entity548 (47 @entity1 , 10.1%). Forty four @entity1 died (9.5%). Bleeding as an inpatient has a higher mortality risk than does @entity548 as an outpatient (RR 2.4 IC 95% 1.2-4.6). An increasing number of comorbidities such as those described in the Rockall Score are also associated with a higher risk of dying (RR 2.5 IC 95% 1.1-5.4). CONCLUSION: UGIB as an inpatient and the presence of comorbidities should alert the clinician in identifying @entity1 at higher risk of a fatal outcome, these @entity1 should have a more aggressive management and be entitled to an early intervention.
