@article{10.11648/j.ijg.20250901.13,
  author = {Marie Jeramiah Concubierta Imperial and Adolf Lim-Teodoro and Kenji Sato},
  title = {Clinical Profile of Filipino Elderly Patients with Upper Gastrointestinal Bleeding Admitted in a Tertiary Hospital: A Retrospective Cohort Study
},
  journal = {International Journal of Gastroenterology},
  volume = {9},
  number = {1},
  pages = {15-24},
  doi = {10.11648/j.ijg.20250901.13},
  url = {https://doi.org/10.11648/j.ijg.20250901.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijg.20250901.13},
  abstract = {Background of the Study: Upper Gastrointestinal bleeding (UGIB) remains to be a significant clinical concern for geriatric patients due to their prolonged hospital stay and higher mortality and morbidity rates. The clinical profile of the geriatric patients are important aspects to consider, given that there is limited data in elderly population. Objective: The study is aimed to determine the clinical profile of elderly patients with UGIB admitted in a Tertiary Hospital from January 2024 to June 2024. Methods: This is a retrospective cohort study among elderly Filipino patients aged 60 years and above; admitted as UGIB and underwent esophagogastroduodenoscopy (EGD). Baseline Demographic, clinical presentation, laboratory results, endoscopic findings, prognosis and predictors of mortality were evaluated. Statistical analysis involved the application of Pearson’s chi-square, Fisher’s exact test, T-test and univariate and multivariate logistic regression analysis. Results: Among 102 admitted elderly patients with UGIB, 67 of them underwent EGD, thus were included in the study; 43 (64.18%) were male and 24 (35.82%) were female with the median age of 69.66 (±7.40) years. The prevalence rate of UGIB among elderly Filipino is 8.90%. 50 of those patients (74.63%) had comorbidities, the most common were: hypertension 38 (56.72%), diabetes mellitus 19 (28.36%) and chronic kidney diseases (13.43%). Patients presented mostly with melena (67.16%), generalized body weakness (53.73%) and 19.40% had abdominal pain. During endoscopy, (47.76%) was due to gastritis and gastric ulcer (19.40%). Mortality rate was higher in patients admitted at the ICU. No association was noted between the patients’ mortality and their sex, age, comorbidities, medications used, clinical findings, INR, BUN, hemoglobin, blood transfusion, and endoscopic findings. Conclusion: The present study reported that elderly patients with UGIB were male, with hypertension as the most common comorbidity. EGD findings showed gastritis as the most common cause of UGIB. Mortality rate is higher in patients admitted at the ICU. None of the variables showed significant differences in terms of predictors of mortality.
},
 year = {2025}
}

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TY  - JOUR
T1  - Clinical Profile of Filipino Elderly Patients with Upper Gastrointestinal Bleeding Admitted in a Tertiary Hospital: A Retrospective Cohort Study

AU  - Marie Jeramiah Concubierta Imperial
AU  - Adolf Lim-Teodoro
AU  - Kenji Sato
Y1  - 2025/04/28
PY  - 2025
N1  - https://doi.org/10.11648/j.ijg.20250901.13
DO  - 10.11648/j.ijg.20250901.13
T2  - International Journal of Gastroenterology
JF  - International Journal of Gastroenterology
JO  - International Journal of Gastroenterology
SP  - 15
EP  - 24
PB  - Science Publishing Group
SN  - 2640-169X
UR  - https://doi.org/10.11648/j.ijg.20250901.13
AB  - Background of the Study: Upper Gastrointestinal bleeding (UGIB) remains to be a significant clinical concern for geriatric patients due to their prolonged hospital stay and higher mortality and morbidity rates. The clinical profile of the geriatric patients are important aspects to consider, given that there is limited data in elderly population. Objective: The study is aimed to determine the clinical profile of elderly patients with UGIB admitted in a Tertiary Hospital from January 2024 to June 2024. Methods: This is a retrospective cohort study among elderly Filipino patients aged 60 years and above; admitted as UGIB and underwent esophagogastroduodenoscopy (EGD). Baseline Demographic, clinical presentation, laboratory results, endoscopic findings, prognosis and predictors of mortality were evaluated. Statistical analysis involved the application of Pearson’s chi-square, Fisher’s exact test, T-test and univariate and multivariate logistic regression analysis. Results: Among 102 admitted elderly patients with UGIB, 67 of them underwent EGD, thus were included in the study; 43 (64.18%) were male and 24 (35.82%) were female with the median age of 69.66 (±7.40) years. The prevalence rate of UGIB among elderly Filipino is 8.90%. 50 of those patients (74.63%) had comorbidities, the most common were: hypertension 38 (56.72%), diabetes mellitus 19 (28.36%) and chronic kidney diseases (13.43%). Patients presented mostly with melena (67.16%), generalized body weakness (53.73%) and 19.40% had abdominal pain. During endoscopy, (47.76%) was due to gastritis and gastric ulcer (19.40%). Mortality rate was higher in patients admitted at the ICU. No association was noted between the patients’ mortality and their sex, age, comorbidities, medications used, clinical findings, INR, BUN, hemoglobin, blood transfusion, and endoscopic findings. Conclusion: The present study reported that elderly patients with UGIB were male, with hypertension as the most common comorbidity. EGD findings showed gastritis as the most common cause of UGIB. Mortality rate is higher in patients admitted at the ICU. None of the variables showed significant differences in terms of predictors of mortality.

VL  - 9
IS  - 1
ER  - 

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