Gastrointestinal Bleeding in Critically Ill Patients

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorAssiut University

About this trial

This prospective cohort study aims to determine the prevalence of gastrointestinal bleeding among critically ill patients admitted to intensive care units, identify independent risk factors, and describe clinical outcomes including ICU length of stay, transfusion requirements, and mortality at Assiut University Hospitals.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

- Age 18 years or older

Admission to the intensive care unit

Onset of gastrointestinal bleeding after ≥24 hours of ICU admission (to distinguish ICU-acquired bleeding)

Overt gastrointestinal bleeding (hematemesis, melena, hematochezia, or bloody nasogastric aspirate) and/or occult bleeding confirmed by fecal occult blood test or endoscopy

Disqualifiers

- Age less than 18 years

Pregnancy

Gastrointestinal bleeding clearly due to trauma or recent gastrointestinal surgery/procedure

Known bleeding disorder unrelated to critical illness

Trial population

Adult patients (≥18 years) admitted to the intensive care units of Assiut University Hospitals.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

310 Participants
are grouped into 1 trial group
Group A: Single cohort: Critically ill adult patients admitted to ICU

Trial outcomes

Primary outcomes

1

Incidence of clinically important ICU-acquired gastrointestinal bleeding

Proportion of critically ill patients who develop clinically important gastrointestinal bleeding (overt bleeding with hemodynamic compromise or significant hemoglobin drop, or occult bleeding confirmed by fecal occult blood test or endoscopy) occurring 24 hours or more after ICU admission.

Time frame
Up to 30 days

Secondary outcomes

1

Independent risk factors for gastrointestinal bleeding

Odds ratios of clinical, laboratory, and treatment-related factors for the occurrence of clinically important gastrointestinal bleeding using multivariable logistic regression analysis.

Time frame
Up to 30 days
2

ICU length of stay

Duration of intensive care unit stay in days.

Time frame
Up to 30 days
3

Blood transfusion requirement

Number of units of packed red blood cells transfused during the ICU stay.

Time frame
Up to 30 days
4

ICU mortality

Proportion of patients who die during the ICU stay.

Time frame
Up to 30 days

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: