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Upper gastrointestinal bleed

Prevalence
Causes
Clinical features
Investigations
Therapy
Prevention
Prognosis
Clinical features

Ask how long a nasogastric tube has been in-situ b

Why?

A nasogastric tube in-situ for 6 or more days increases the risk of upper GI bleeding

Patient Prognostic Factor Outcome CER OR
(95% CI)
NNF+
(95% CI)
on ICU for 2 or more days b nasogastric tube in-situ for 6 days
independent
upper GI bleed
 
8.7% 2.59 9

Expiry date: July 2003
Levels of Evidence used in grading these guides

Author   A   Townsend , CM   Ball
Reviewer   L   Friedman
CAT Writers   A   Townsend , CM   Ball , CJ   Wotton