Cano EAA, Ochoa MX, Tapia IEX, López CF, Pérez RBGR, Sánchez CA, Montiel FHM

Language: Spanish
References: 13
Page: 20-25
PDF size: 244.09 Kb.

ABSTRACT

Background: Gastrointestinal bleeding is blood loss in any segment of the digestive tract; it can be divided into upper and lower. It frequently occurs with hypovolemic shock. We do not have non-traumatic hypovolemic shock classifications that help determine the severity or need for transfusion in these patients. Base deficit is a marker that could determine the severity and need for blood transfusion. The aim of this study was to determine if the base deficit is a predictor of severity and indicator of transfusion in patients with gastrointestinal bleeding and shock. Material and methods: Prospective, bicentric, descriptive, observational study; we included patients admitted with a diagnosis of gastrointestinal bleeding to the emergency room of any of the campuses of the ABC Medical Center from January 1, 2016 to January 1, 2017. Results: Patients with higher levels of base deficit (classes III and IV) had lower mean arterial pressure, higher lactate levels, blood urea, II score. Mortality was higher in classes III and IV, with a tendency to statistical significance. The use of vasopressors, intubation and need for admission to the intensive care unit was higher in patients with classes III and IV. The highest average number of units per patient was observed in class III, with a median of five units. Conclusions: A higher base deficit in patients with gastrointestinal bleedingcan predict severity, the need for early blood transfusion and a greater number of red blood cell units, as well as a prolonged stay, need for vasopressors and admission to the intensive care unit in patients with shock secondary to gastrointestinal bleeding.

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