Direkt zum Inhalt

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 ; Römmele, Christoph

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.



Beteiligte Einrichtungen


Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftUnited 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
Datum2021
InstitutionenMedizin > Abteilung für Krankenhaushygiene und Infektiologie
Medizin > Notfallambulanz
Identifikationsnummer
WertTyp
10.1002/ueg2.12165DOI
Stichwörter / KeywordsPROPHYLAXIS; MANAGEMENT; SOCIETY; COVID-19; critically ill; GI bleeding; LEOSS; SARS-CoV-2
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-565036
Dokumenten-ID56503

Bibliographische Daten exportieren

Nur für Besitzer und Autoren: Kontrollseite des Eintrags

nach oben