Predictores de recurrencia de sangrado en pacientes con Enfermedad Ulcero Péptica mayores de 50 años atendidos en el hospital IESS de Ceibos entre enero del 2021 a enero del 2023 .

Abstract

An observational, retrospective, descriptive and analytical study was carried out in patients over 50 years of age attended at the Hospital IESS Los Ceibos during the period from January 2021 to January 2023. Objective: to determine the predictors of bleeding recurrence in the study population. Material and methods: The study included 150 patients with upper gastrointestinal bleeding due to peptic ulcer diagnosed by upper gastrointestinal endoscopy, 94 patients rebleed (62.7%). For data collection, the clinical histories of the patients in the registry of the Hospital IESS Los Ceibos were used, tabulated and managed in an Excel spreadsheet. For statistical analysis we used measures of central tendency, measures of reciprocal dispersion, binomial logistic regression analysis, as well as Odd Ratio and Fisher's correlation test. Results: Male patients predominated (59.3%) and the calculated mean age was 69.35 ± 11.48. The predictors of bleeding recurrence in the study population were a history of H. pylori infection (52%), ulcer location in the duodenal bulb (29%), Forrest scale score (13.8%), history of chronic therapy with anticoagulants (6.3%), ulcer size >1 cm (2.3%) and admission to the ICU during the first bleeding event (2.4%). These predictor variables explained 95% of the re bleeding outcome.