PREVALENCE OF ANEMIA AND CLINICAL APPROACH IN PATIENTS DISCHARGED AFTER
GASTROINTESTINAL BLEEDING
Abstract
Background and Aim: Acute gastrointestinal system (A-GIS) hemorrhages
are frequent. Anemia is frequently seen in these patients at the
discharge from the hospital. The anemia prevalence and approach to the
anemia in patients with A-GIS bleeding at the time of discharge and
during 3 months’ follow-up has been evaluated in this study. Method: In
this study 197 patients diagnosed A-GIS bleeding in our hospital between
January 2017 –May 2018 have been evaluated retrospectively. Results: In
129 of these patients upper gastrointestinal endoscopy, in 3 of them
enteroscopy, in 45 of them lower gastrointestinal endoscopy, in 8 of
them both upper and lower gastrointestinal endoscopy, in 2 of them
upper, middle and lower gastrointestinal endoscopies were applied and 10
patients didnt performed endoscopy. In 69 of these patients therapeutic
endoscopic treatments were applied. The mean of the length of
hospitalization was 10±13.84 day and 67% of patients had erythrocyte
transfusion with a mean value of 3.5±5.89 units during hospitalization.
The mean of hemoglobin rate was 9.85±1.67 g/dL at the time of discharge
from the hospital. In 92.4 % of the patients (F 91.1%, M 93.2%; upper
GI bleeding 93.9%, middle GI bleeding 100%, lower GI bleeding 86.8%)
anemia was detected at the time of the discharge. In 9.7% of these
patients, iron deficiency treatment were applied. 33% of all 197
patients were evaluated 3 months after discharge from the hospital and
in 80 % of these patients had still ongoing anemia. Conclusion: Anemia
frequency is high when the patients with A-GIS bleeding are discharged.
Most patients are discharged without receiving a prescription for the
anemia. In follow-up, control applications are inadequate and anemia
persists in patients