Evidence map›Paper›PMID 38721481›Full record

ArticleCureus2024

Clinical Presentations and Risk Factors of Gastrointestinal Bleeding in the Emergency Department: A Multicenter Retrospective Study.

Abed H AlLehibi, Faisal F Alsubaie, Rayan H Alzahrani, Hussain A Ekhuraidah, Mohammed A Koshan, Nasser F Alotaibi, Fahad M Alotaibi, Hamdan S Alghamdi, Abdulrahman A Aljumah

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Abed H AlLehibiGastroenterology, King Fahad Medical City, Ministry of Health, Riyadh, SAU.
Faisal F AlsubaieClinical Sciences, College of Medicine, Dar Al Uloom University, Riyadh, SAU.
Rayan H AlzahraniClinical Sciences, College of Medicine, Dar Al Uloom University, Riyadh, SAU.
Hussain A EkhuraidahClinical Sciences, College of Medicine, Dar Al Uloom University, Riyadh, SAU.
Mohammed A KoshanClinical Sciences, College of Medicine, Dar Al Uloom University, Riyadh, SAU.
Nasser F AlotaibiClinical Sciences, College of Medicine, Dar Al Uloom University, Riyadh, SAU.
Fahad M AlotaibiClinical Sciences, College of Medicine, Dar Al Uloom University, Riyadh, SAU.
Hamdan S AlghamdiCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, SAU.
Abdulrahman A AljumahClinical Sciences, College of Medicine, Dar Al Uloom University, Riyadh, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsGastrointestinal bleeding is a major healthcare burden and is associated with significant morbidity and mortality. This study aimed to assess the prevalence, clinical presentation, and risk factors of patients presenting with gastrointestinal bleeding in the emergency department. MATERIALS AND

methodsThis retrospective study was conducted in two tertiary care hospitals in Riyadh, Saudi Arabia. The medical records of patients who presented to the emergency department with gastrointestinal bleeding between January 2010 and January 2020 were reviewed. Patients aged 18 years or older, with gastrointestinal bleeding (upper or lower) regardless of underlying cause, lifestyle, location of bleeding, health status, or medication use, were included. Demographic characteristics, initial vital signs, medical history, physical examination findings, comorbidities, medications, laboratory and radiological investigations, cause and stage of liver disease, management, and complications were recorded. Endoscopic findings and management of the bleeding site were collected according to the presenting symptoms.

resultsA total of 760 patients were included. The mean age was 62.7 ± 17.8 years, and 61.4% were males. The most common comorbidities at presentation were hypertension (54.1%), diabetes mellitus (51.2%), and ischemic heart disease (18.2%). The origins of the bleeding were lower gastrointestinal in 52% and upper gastrointestinal in 48% of patients.

conclusionsLower gastrointestinal bleeding was found to be more common than upper gastrointestinal bleeding. Hemorrhoids, polyps, diverticular disease, and colonic ulcers were the major risk factors for lower gastrointestinal bleeding. In contrast, upper gastrointestinal bleeding was predominantly caused by esophageal varices, gastritis, and peptic ulcers.

Indexed as

colonoscopyemergency departmentendoscopygastritisgastrointestinal bleedinghematemesismelenapolypsvarices

Identifiers

PMID38721481
PMCPMC11078533

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.