Upper gastrointestinal bleeding in neck of femur fracture patients: a single tertiary centre experience. Issue 6 (12th June 2018)

• Record Type: Journal Article
• Authors: Liu, Jessamine; Gupta, Rohit; Hay, Karen; Pulle, Chrys; Rahman, Tony; Pandy, Shaun
• Is Part Of: Internal medicine journal. Volume 48:Issue 6(2018)
• Page Start: 731
• Page End: 735
• Publication Date: 2018-06-12
• Subjects: perioperative -- upper gastrointestinal bleeding -- neck of femur fracture -- geriatric; Medicine -- Periodicals; 616
• DOI: 10.1111/imj.13809
• Languages: English
• ISSNs: 1444-0903

Abstract

Abstract: This study aimed to identify the incidence of perioperative acute upper gastrointestinal bleeding (UGIB) in our hip fracture patients; to evaluate the characteristics, management and clinical outcomes of these patients; and to explore risk factors and protective factors. Of the 1691 consecutive patients admitted for surgical management of hip fractures, 11 (0.65%) had UGIB and a further four patients for each case were selected as controls for evaluation of risk factors and protective factors. Pre‐existing peptic ulcer disease was identified as a risk factor for acute UGIB (odds ratio 7.9; 95% confidence interval: 1.1–54.9). This study reported a very low incidence of UGIB in hip fracture patients. Despite being a high‐risk population, timely endoscopic evaluation can be safely undertaken to optimise patient outcome. When risk factors such as history of peptic ulcer disease are present, additional precaution including gastro‐protective agent and nutritional support should be undertaken.