ED predictors of upper gastrointestinal tract bleeding in patients without hematemesis

American Journal of Emergency Medicine

Volumn 24, Issue 3, 2006, Pages 280-285

  Witting, Michael D ^a   Magder, Laurence ^a   Heins, Alan E ^a,b   Mattu, Amal ^a   Granja, Carlos A ^a   Baumgarten, Mona ^a  

^a UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CREATININE;

ADULT; AGED; ARTICLE; COHORT ANALYSIS; CONFIDENCE INTERVAL; CREATININE BLOOD LEVEL; DISEASE ASSOCIATION; EMERGENCY WARD; FECES ANALYSIS; FEMALE; GASTROINTESTINAL HEMORRHAGE; GASTROINTESTINAL TRACT; HEMATEMESIS; HOSPITAL ADMISSION; HUMAN; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; UPPER GASTROINTESTINAL BLEEDING; UREA NITROGEN BLOOD LEVEL;

ADULT; AGED; AGED, 80 AND OVER; EMERGENCY SERVICE, HOSPITAL; ENDOSCOPY, GASTROINTESTINAL; FEMALE; GASTROINTESTINAL HEMORRHAGE; HEMATEMESIS; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; PREDICTIVE VALUE OF TESTS; RETROSPECTIVE STUDIES; RISK FACTORS;

EID: 33646074551     PISSN: 07356757     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ajem.2005.11.005     Document Type: Article

References (22)

1. Peter D.J., and Dougherty J.M. Evaluation of the patient with gastrointestinal bleeding: an evidence based approach. Emerg Med Clin North Am 17 (1999) 239-261
2. Longstreth G.F. Epidemiology and outcome of patients hospitalized with acute lower gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol 92 (1997) 419-424
3. Peura D.A., Lanza F.L., Gostout C.J., et al. The American College of Gastroenterology Bleeding Registry: preliminary findings. Am J Gastroenterol 92 (1997) 924-928
4. Eisen G.M., Dominitz J.A., Faigel D.O., et al. An annotated algorithmic approach to upper gastrointestinal bleeding. Am J Gastroenterol 53 (2001) 853-858
5. Brackman M.R., Gushchin V.V., Smith L., et al. Acute lower gastroenteric bleeding retrospective analysis (the ALGEBRA study): an analysis of the triage, management and outcomes of patients with acute lower gastrointestinal bleeding. Am Surg 69 (2003) 145-149
6. Ernst A.A., Haynes M.L., Nick T.G., et al. Usefulness of the blood urea nitrogen/creatinine ratio in gastrointestinal bleeding. Am J Emerg Med 17 (1999) 70-77
7. Zuckerman G.R., Trellis D.R., Sherman T.M., et al. An objective measure of stool color for differentiating upper from lower gastrointestinal bleeding. Dig Dis Sci 40 (1995) 1614-1621
8. Richards R.J., Donica M.B., and Grayer D. Can the blood urea nitrogen/creatinine ratio distinguish upper from lower gastrointestinal bleeding?. J Clin Gastroenterol 12 (1990) 500-504
9. Chalasani N., Clark W.S., and Wilcox C.M. Blood urea nitrogen to creatinine concentration in gastrointestinal bleeding: a reappraisal. Am J Gastroenterol 92 (1997) 1796-1799
10. Singer S., Richman P., LaVefre R., et al. Comparison of patient and practitioner assessments of pain from commonly performed emergency department procedures. Acad Emerg Med 4 (1997) 404-405
11. Panacek E.A., and Diercks D. Upper gastrointestinal bleeding. In: Wolfson A., et al. (Ed). Harwood-Nuss' clinical practice of emergency medicine. 4th ed. (2005), Lippincott Williams and Wilkins, Philadelphia (PA) 345-349
12. Kupfer Y., Cappell M.S., and Tessler S. Acute gastrointestinal bleeding in the intensive care unit: the intensivist's perspective. Gastroenterol Clin North Am 29 (2000) 275-307
13. Cello J.P. Diagnosis and management of lower gastrointestinal tract hemorrhage. West J Med 143 (1985) 80-87
14. Witting M.D., Magder L., Heins A.E., et al. Usefulness and validity of diagnostic nasogastric aspiration in patients without hematemesis. Ann Emerg Med 43 (2004) 525-532
15. Witting M.D., and Gallagher K. Unique cutpoints for sitting-to-standing orthostatic vital signs. Am J Emerg Med 21 (2003) 45-47
16. Simel D.L., Samsa G.P., and Matchar D.B. Likelihood ratios with confidence: sample size estimation for diagnostic test studies. J Clin Epidemiol 44 (1991) 763-770
17. Eisen G.M., Dominitz J.A., Faigel D.O., et al. An annotated algorithmic approach to acute lower gastrointestinal bleeding. Gastrointest Endosc 53 (2001) 859-863
18. Zuckerman G.R., and Prakash C. Acute lower intestinal bleeding: part I: clinical presentation and diagnosis. Gastrointest Endosc 48 (1998) 606-617
19. Wilcox C.M., Alexander L.N., and Cotsonis G. A prospective characterization of upper gastrointestinal hemorrhage presenting with hematochezia. Am J Gastroenterol 92 (1997) 231-235
20. Lee J.G., Turnipseed S., Romano P.S., et al. Endoscopy-based triage significantly reduces hospitalization rates and costs of treating upper GI bleeding: a randomized controlled trial. Gastrointest Endosc 50 (1999) 751-761
21. Mower W.R. Evaluating bias and variability in diagnostic test reports. Ann Emerg Med 33 (1999) 85-91
22. Gilbert E.H., Lowenstein S.R., Koziol-McLain J., et al. Chart reviews in emergency medicine research: where are the methods?. Ann Emerg Med 27 (1996) 305-308