Gastrointestinal Bleeding Clinical Trial
Official title:
Management of Patients With Gastrointestinal Bleeding - a Prospective Single Center Registry Study
Unlike the management of patients with various forms of accidents (e.g. polytrauma), only a few data exists for the emergency management of patients with acute gastrointestinal bleeding. The aim of our study is to develop optimal diagnostic and therapeutic algorithms for the management of acute upper and lower gastrointestinal bleedings.
Acute upper gastrointestinal bleeding is a common medical emergency. Up to 15% of patients
still die worldwide. The gastroduodenal ulcer disease is the most common cause of
gastrointestinal bleeding. Even lower gastrointestinal bleeding occurs especially in
patients of older age.
The goal of our data acquisition and evaluation is to learn whether existing diagnostic or
therapeutic procedures are of relevance in the management of acute gastrointestinal
bleedings. Unlike the management of patients with various forms of accidents (e.g.
polytrauma), only a few data exists on patients with acute gastrointestinal bleedings. The
aim of our study is to develop optimal diagnostic and therapeutic algorithms of acute
gastrointestinal bleeding. Therefore our prospective data registry should answer different
questions:
When is the right time for a gastroscopy or colonoscopy? Should every patient with a
suspected gastrointestinal bleeding receive endoscopy? Which clinical und laboratory
findings influence the success of therapy? Does endoscopic procedures have an influence on
the length of hospital stay?
Against this background we will record treatment findings separately. This includes clinical
(e.g. age, sex, date of admission, department of admission, onset of symptoms), laboratory
(e.g. blood count), history of medications (e.g. new anticoagulation's) and endoscopic
findings (e.g. active bleeding). Furthermore the length of inhospital stay will be recorded.
Participants will be followed for the duration of hospital stay, an expected average of 7
days.
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Time Perspective: Prospective
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