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Gastrointestinal bleeding and endoscopic findings in critically and non‐critically ill patients with corona virus disease 2019 (COVID‐19): Results from Lean European Open Survey on SARS‐CoV‐2 (LEOSS) and COKA registries
Zellmer, Stephan, Hanses, Frank
, Muzalyova, Anna, Classen, Johanna, Braun, Georg, Piepel, Christiane, Erber, Johanna, Pilgram, Lisa, Walter, Lorenz, Göpel, Siri, Wille, Kai
, Hower, Martin, Rüthrich, Maria Madeleine, Rupp, Jan
, Degenhardt, Christian, Voigt, Ingo, Borgmann, Stefan, Stecher, Melanie, Jakob, Carolin, Dhillon, Christine, Messmann, Helmut, Ebigbo, Alanna und Römmele, Christoph
(2021)
Gastrointestinal bleeding and endoscopic findings in critically and non‐critically ill patients with corona virus disease 2019 (COVID‐19): Results from Lean European Open Survey on SARS‐CoV‐2 (LEOSS) and COKA registries.
United European Gastroenterology Journal 9 (9), S. 1081-1090.
Veröffentlichungsdatum dieses Volltextes: 29 Feb 2024 12:28
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.56503
Zusammenfassung
Background Corona virus disease 2019 (COVID-19) patients are at increased risk for thromboembolic events. It is unclear whether the risk for gastrointestinal (GI) bleeding is also increased. Methods We considered 4128 COVID-19 patients enrolled in the Lean European Open Survey on SARS-CoV-2 (LEOSS) registry. The association between occurrence of GI bleeding and comorbidities as well as medication ...
Background Corona virus disease 2019 (COVID-19) patients are at increased risk for thromboembolic events. It is unclear whether the risk for gastrointestinal (GI) bleeding is also increased. Methods We considered 4128 COVID-19 patients enrolled in the Lean European Open Survey on SARS-CoV-2 (LEOSS) registry. The association between occurrence of GI bleeding and comorbidities as well as medication were examined. In addition, 1216 patients from COKA registry were analyzed focusing on endoscopy diagnostic findings. Results A cumulative number of 97 patients (1.8%) with GI bleeding were identified in the LEOSS registry and COKA registry. Of 4128 patients from the LEOSS registry, 66 patients (1.6%) had a GI bleeding. The rate of GI bleeding in patients with intensive care unit (ICU) admission was 4.5%. The use of therapeutic dose of anticoagulants showed a significant association with the increased incidence of bleeding in the critical phase of disease. The Charlson comorbidity index and the COVID-19 severity index were significantly higher in the group of patients with GI bleeding than in the group of patients without GI bleeding (5.83 (SD = 2.93) vs. 3.66 (SD = 3.06), p < 0.01 and 3.26 (SD = 1.69) vs. 2.33 (SD = 1.53), p < 0.01, respectively). In the COKA registry 31 patients (2.5%) developed a GI bleeding. Of these, the source of bleeding was identified in upper GI tract in 21 patients (67.7%) with ulcer as the most frequent bleeding source (25.8%, n = 8) followed by gastroesophageal reflux (16.1%, n = 5). In three patients (9.7%) GI bleeding source was located in lower GI tract caused mainly by diverticular bleeding (6.5%, n = 2). In seven patients (22.6%) the bleeding localization remained unknown. Conclusion Consistent with previous research, comorbidities and disease severity correlate with the incidence of GI bleeding. Also, therapeutic anticoagulation seems to be associated with a higher risk of GI bleeding. Overall, the risk of GI bleeding seems not to be increased in COVID-19 patients.
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| Dokumentenart | Artikel | ||||
| Titel eines Journals oder einer Zeitschrift | United European Gastroenterology Journal | ||||
| Verlag: | JOHN WILEY & SONS LTD | ||||
|---|---|---|---|---|---|
| Ort der Veröffentlichung: | CHICHESTER | ||||
| Band: | 9 | ||||
| Nummer des Zeitschriftenheftes oder des Kapitels: | 9 | ||||
| Seitenbereich: | S. 1081-1090 | ||||
| Datum | 2021 | ||||
| Institutionen | Medizin > Abteilung für Krankenhaushygiene und Infektiologie Medizin > Notfallambulanz | ||||
| Identifikationsnummer |
| ||||
| Stichwörter / Keywords | PROPHYLAXIS; MANAGEMENT; SOCIETY; COVID-19; critically ill; GI bleeding; LEOSS; SARS-CoV-2 | ||||
| Dewey-Dezimal-Klassifikation | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin | ||||
| Status | Veröffentlicht | ||||
| Begutachtet | Ja, diese Version wurde begutachtet | ||||
| An der Universität Regensburg entstanden | Ja | ||||
| URN der UB Regensburg | urn:nbn:de:bvb:355-epub-565036 | ||||
| Dokumenten-ID | 56503 |
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