Resumen

CRUZ ALONSO, Juan Ramón et al. Mortality from upper digestive bleeding in «Enrique Cabrera» Hospital. Rev Cubana Cir [online]. 2008, vol.47, n.4, pp. 0-0. ISSN 1561-2945.

INTRODUCTION. Upper digestive bleeding is still a health problem leading to a significant morbidity and mortality and to an elevated consumption of health resources. The present study was aimed at characterizing mortality from upper digestive bleeding in «Enrique Cabrera» Hospital (Havana City) from January 2003 to July 2007. METHODS: A descriptive, retrospective and cross-sectional study was conducted to review the clinical cards of the dead patients due to upper digestive bleeding in this period. RESULTS: 49 patients died of a total of 320 admitted as a result of upper digestive bleeding (15 %). 80.6 % of the dead were over 55. It was stressed the personal history of the elevated mantained consumption of non-steroidal antiinflammatory drugs observed in 54.8 % of the cases, followed by liver cirrhosis. Half of the initial clinical diagnoses were wrong. 64 % of the dead were hemodinamically unstable on admission. Only 32.2 % of the dead had been operated on. All the patients that did not undergo surgery died of hypovolemic shock. CONCLUSIONS. A surgical procedure performed on time may save these patients.

Palabras clave : Upper digestive bleeding; digestive hemorrhage; esophageal varices; peptic ulcer.

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