2016
Localizing Acute Lower Gastrointestinal Hemorrhage: CT Angiography Versus Tagged RBC Scintigraphy.
Feuerstein J, Ketwaroo G, Tewani S, Cheesman A, Trivella J, Raptopoulos V, Leffler D. Localizing Acute Lower Gastrointestinal Hemorrhage: CT Angiography Versus Tagged RBC Scintigraphy. American Journal Of Roentgenology 2016, 207: 578-84. PMID: 27303989, DOI: 10.2214/ajr.15.15714.Peer-Reviewed Original ResearchMeSH KeywordsAcute DiseaseAgedAged, 80 and overComputed Tomography AngiographyContrast MediaErythrocytesFemaleGastrointestinal HemorrhageHumansIohexolMaleRadionuclide ImagingRetrospective StudiesConceptsAcute lower gastrointestinal bleedingLower gastrointestinal bleedingLower gastrointestinal hemorrhageCT angiographyRBC scintigraphyScintigraphic scansGastrointestinal bleedingGastrointestinal hemorrhageActive lower gastrointestinal bleedingAcute lower gastrointestinal hemorrhageUtility of CTAAcute kidney injuryBlood transfusion requirementsTertiary care hospitalAverage hospital lengthSite of bleedingActive gastrointestinal bleedingActive bleedingHospital lengthHospital mortalityKidney injuryTransfusion requirementsCare hospitalRetrospective reviewScintigraphic examination
2015
High Glasgow Blatchford Score at admission is associated with recurrent bleeding after discharge for patients hospitalized with upper gastrointestinal bleeding
Sengupta N, Tapper E, Patwardhan V, Ketwaroo G, Thaker A, Leffler D, Feuerstein J. High Glasgow Blatchford Score at admission is associated with recurrent bleeding after discharge for patients hospitalized with upper gastrointestinal bleeding. Endoscopy 2015, 48: 9-15. PMID: 26340604, DOI: 10.1055/s-0034-1392651.Peer-Reviewed Original ResearchConceptsGlasgow-Blatchford scoreUpper gastrointestinal bleedingGBS scoresBlatchford scoreGastrointestinal bleedingMultivariable analysisEndoscopic interventionHigh riskIntensive care unit admissionCare unit admissionMultivariable Cox regressionPost-discharge outcomesGBS patientsUnit admissionCause readmissionHospital deathRecurrent bleedingCohort studyReadmission ratesConsecutive patientsHospital readmissionSignificant morbidityCox regressionPatientsReadmissionRisk Factors for Adverse Outcomes in Patients Hospitalized With Lower Gastrointestinal Bleeding
Sengupta N, Tapper E, Patwardhan V, Ketwaroo G, Thaker A, Leffler D, Feuerstein J. Risk Factors for Adverse Outcomes in Patients Hospitalized With Lower Gastrointestinal Bleeding. Mayo Clinic Proceedings 2015, 90: 1021-1029. PMID: 26141075, PMCID: PMC4770256, DOI: 10.1016/j.mayocp.2015.04.024.Peer-Reviewed Original ResearchConceptsRecurrent lower gastrointestinal bleedingLower gastrointestinal bleedingCharlson Comorbidity Index scoreComorbidity Index scoreActive malignancyRisk factorsGastrointestinal bleedingAdverse outcomesMultivariable Cox proportional hazards regression modelsHigher Charlson Comorbidity Index scoresIndex scoreCox proportional hazards regression modelProportional hazards regression modelsBeth Israel Deaconess Medical CenterProspective observational studyHazards regression modelsAssociation of variablesRecurrent bleedingHospital dischargeConsecutive patientsHospital readmissionObservational studyMedical CenterMortality riskPatients
2014
The Risks of Thromboembolism Vs. Recurrent Gastrointestinal Bleeding after Interruption of Systemic Anticoagulation in Hospitalized Inpatients With Gastrointestinal Bleeding: A Prospective Study
Sengupta N, Feuerstein J, Patwardhan V, Tapper E, Ketwaroo G, Thaker A, Leffler D. The Risks of Thromboembolism Vs. Recurrent Gastrointestinal Bleeding after Interruption of Systemic Anticoagulation in Hospitalized Inpatients With Gastrointestinal Bleeding: A Prospective Study. The American Journal Of Gastroenterology 2014, 110: 328. PMID: 25512338, DOI: 10.1038/ajg.2014.398.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAnticoagulantsBenzimidazolesBeta-AlanineCohort StudiesDabigatranEnoxaparinFemaleGastrointestinal HemorrhageHeparinHumansIschemic Attack, TransientLongitudinal StudiesMaleMiddle AgedMorpholinesPatient ReadmissionProspective StudiesPulmonary EmbolismPyrazolesPyridonesRecurrenceRivaroxabanStrokeThiophenesThromboembolismVenous ThrombosisWarfarinWithholding TreatmentConceptsRecurrent gastrointestinal bleedingGastrointestinal bleedingSystemic anticoagulationAnticoagulation continuationThromboembolic eventsThrombotic eventsEtiology of GIBProspective observational cohort studyIntensive care unit careHospital transfusion requirementsMajor thrombotic episodesRisk of continuationObservational cohort studyRisk of thromboembolismCox proportional hazardsTransfusion requirementsCohort studyHospital dischargeUnit careConsecutive patientsHospital readmissionThrombotic episodesProspective studyHospitalized inpatientsFollowing outcomes