Loading...
The time between the onset of upper gastrointestinal bleeding (UGIB) and the presentation of symptoms varies widely. To identify factors that affect the time to presentation and to evaluate the effects on clinical outcomes of early and late presentation, investigators conducted a prospective study involving 2944 consecutive patients presenting with overt UGIB to six emergency departments in the U.S., U.K., New Zealand, Denmark, and Singapore between March 2014 and March 2015.
Results were as follows:
36% of patients presented within 6 hours of symptom onset, 51% presented within 12 hours, and 20% presented after 48 hours.
Patients mostly like to present early (within 6 hours) had altered mental status, albumin ≤30 g/L, and hematemesis; patient…