TỶ LỆ TỬ VONG NỘI VIỆN VÀ CÁC YẾU TỐ LIÊN QUAN Ở BỆNH NHÂN CAO TUỔI BỊ XUẤT HUYẾT TIÊU HOÁ TRÊN DO LOÉT DẠ DÀY TÁ TRÀNG

Abstract

Objective: To determine the in-hospital mortality rate and factors associated with in-hospital mortality in elderly patients admitted for gastrointestinal bleeding due to peptic ulcers. Subjects and Methods: A retrospective study collecting data from 204 patients aged over 65 with gastrointestinal bleeding caused by peptic ulcers, who were hospitalized at 108 Military Central Hospital from January 2020 to February 2025. Results: The mean age of the patients was 81.2 ± 8.3 years. The in-hospital mortality rate was 13.3%. There were no significant differences in gender distribution or mean age between the deceased and surviving groups. Univariate regression analysis showed that clinical syncope, heart rate, serum albumin levels, endoscopic Forrest IA classification, rebleeding, and the need for blood transfusion were associated with in-hospital mortality. Multivariate analysis identified heart rate, serum albumin, and rebleeding as independent predictors of mortality. Conclusion: The in-hospital mortality rate in elderly patients with gastrointestinal bleeding due to peptic ulcers is relatively high. Heart rate, serum albumin on admission, and rebleeding are independent prognostic factors for mortality.