Predictors of mortality and rebleeding in acute upper gastrointestinal bleeding: A prospective hospital-based study

Acute upper gastrointestinal bleeding is a major emergency cause of transfusion and in hospital death but local data on mortality and rebleeding predictors is limited. This prospective observational study included 138 adults, most were males 66.7% and age 31-50 years 40.6% with frequent alcohol use 43.5% and NSAID exposure 36.2%. Peptic ulcer disease was the commonest cause 56.5% followed by variceal bleed 25.4% and severe anaemia Hb <7 g/dL was present in 29% with transfusion required in 63.8%. Endoscopic hemostasis was achieved in 87% but rebleeding occurred in 13% and mortality was 9.4% with variceal bleed contributing most rebleeds and peptic ulcer disease accounting for most deaths, so early risk scoring fast endoscopy and correction of reversible host factors remains important.