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JCR 2016
جستجوی مقالات
یکشنبه 23 آذر 1404
Middle East Journal of Digestive Diseases
، جلد ۱۰، شماره ۱، صفحات ۲۵-۳۰
عنوان فارسی
چکیده فارسی مقاله
کلیدواژههای فارسی مقاله
عنوان انگلیسی
COVID-19 and Upper Gastrointestinal Bleeding; Etiology, Risk Factors, and Outcomes: A Case-Control Study
چکیده انگلیسی مقاله
Background: COVID-19-associated gastrointestinal (GI) symptoms are often self-limiting; however, gastrointestinal bleeding (GIB) is a critical complication in patients with COVID-19. The present study investigates the etiology, risk factors, esophagogastroduodenoscopy (EGD) findings, and outcomes associated with upper gastrointestinal bleeding (UGIB) in hospital inpatients with COVID-19. Methods: In this retrospective case-control study, 127 patients with COVID-19 in Kerman, Iran, were diagnosed using reverse transcription polymerase chain reaction (RT-PCR) and subsequently divided into case and control groups from January 2022 to July 2022. Results: This study evaluated 64 patients with COVID-19 with UGIB and 63 patients without. The case group reported previous history of GIB and cirrhosis at 17.2% and 12.5%, respectively (P=0.001 and P=0.01). Melena (37.5%) and peptic ulcer (21.87%) were the most common UGIB symptom and EGD findings, respectively. In the comparison of the case group with the control group, the duration of the patient's stay in the intensive care unit (ICU) (11.58±1.13 vs. 8.29±1.06 days), the need for invasive mechanical ventilation (17.2% vs. 8.1%), and the mortality rate (26.6% vs. 18.9%) were recorded (P=0.03, 0.124, and 0.07, respectively). Conclusion: Patients with COVID-19 and UGIB have a more prevalent ICU stay compared with those without. Melena and peptic ulcer were the most common presentations and EGD findings in these patients. Additionally, liver cirrhosis and a history of previous GIB increased the risk of GIB in patients with COVID-19.
کلیدواژههای انگلیسی مقاله
COVID-19, Gastrointestinal bleeding, Risk factor, Outcome, Iran
نویسندگان مقاله
| Sara Shafieipour
Clinical Research Development Unit, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran
| Mohammad Rezaei Zadeh Rukerd
Gastroenterology and Hepatology Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Iran
| Niloofar Farsiu
Research Center Of Tropical and Infectious Diseases, Kerman University Of Medical Sciences, Kerman, Iran
| Mohsen Nakhaie
Physiology Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran
| Samaneh Jahangiri
Research Center of Tropical and Infectious Diseases, Kerman University of Medical Sciences, Kerman, Iran
| Maysam Yousefi
Clinical Research Development Unit, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran
| Hanieh Mirkamali
Gastroenterology and Hepatology Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Iran
| Aryan Mohamadinezhad
نشانی اینترنتی
http://mejdd.org/index.php/mejdd/article/view/2899
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زبان مقاله منتشر شده
en
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Original Article
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