METHODS: A retrospective chart review was performed on 142 patients. Data was collected on patient demographics, clinical features, comorbidities, medications, hemodynamic parameters, laboratory values, and diagnostic imaging. Logistic regression analysis, independent samples t-testing, Mann Whitney U testing for non-parametric data, and univariate analysis of categorical variables by Chi square test was performed to determine relationships within the data.
RESULTS: On logistic regression analysis, A hemoglobin drop of > 20 g/L was the only variable that predicted endoscopic intervention (p = 0.030). Tachycardia, hypotension, or presence of anticoagulation were not significantly associated with endoscopic intervention (p > 0.05).
CONCLUSIONS: A hemoglobin drop of > 20 g/L was the only patient parameter that predicted the need for urgent endoscopic intervention in the emergency department.
方法:对142例患者进行回顾性分析。收集了患者人口统计学数据,临床特征,合并症,药物,血液动力学参数,实验室值,和诊断成像。Logistic回归分析,独立样本t检验,MannWhitneyU检验非参数数据,通过卡方检验对分类变量进行单变量分析,以确定数据内的关系。
结果:关于逻辑回归分析,血红蛋白下降>20g/L是预测内镜干预的唯一变量(p=0.030)。心动过速,低血压,或抗凝治疗与内镜干预无显著相关性(p>0.05)。
结论:血红蛋白下降>20g/L是预测急诊科需要紧急内镜干预的唯一患者参数。