Stress-Related Gastrointestinal Bleeding in Patients with Aneurysmal Subarachnoid Hemorrhage: A Multicenter Retrospective Observational Study.

Dina AliMegan E BarraJoseph BlunckGretchen M BrophyCaitlin S BrownMeghan CaylorSarah L ClarkDavid HenslerMathew JonesAmanda Lamer-RosenMelissa LevesqueLeana N MahmoudSherif H MahmoudCasey MayKeith NguyenNicholas PanosChristina RoelsJustin ShewmakerKeaton SmetanaJessica TraegerAric ShadlerAaron M Cook

Published in: Neurocritical care (2020)

Clinically important GI bleeding occurred in 4.9% of patients with aSAH, similar to the general critical care population. Risk factors associated with GI bleeding were prolonged mechanical ventilation (> 48 h), creatinine clearance < 60 ml/min, presence of coagulopathy, elevation of intracranial pressure, and cerebral vasospasm. Further prospective research is needed to confirm this observation within this patient population.

Keyphrases

mechanical ventilation
subarachnoid hemorrhage
acute respiratory distress syndrome
intensive care unit
atrial fibrillation
cross sectional
cerebral ischemia
clinical trial