| Revista: | Arquivos de gastroenterologia = Archives of gastroenterology |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000425655 |
| ISSN: | 0004-2803 |
| Autores: | Franco, Matheus Cavalcante1 Nakao, Frank Shigueo2 Rodrigues, Rodrigo2 Maluf-Filho, Fauze3 Paulo, Gustavo Andrade de4 Libera, Ermelindo Della2 |
| Instituciones: | 1Universidade Federal de Sao Paulo, Hospital Universitario, Sao Paulo. Brasil 2Fleury Medicina e Saude, Departamento de Endoscopia, Sao Paulo. Brasil 3Instituto de Cáncer de Sao Paulo, Departamento de Endoscopia, Sao Paulo. Brasil 4Hospital Israelita Albert Einstein, Departamento de Endoscopia, Sao Paulo. Brasil |
| Año: | 2015 |
| Periodo: | Oct-Dic |
| Volumen: | 52 |
| Número: | 4 |
| Paginación: | 283-292 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico |
| Resumen en inglés | ABSTRACT - Background - Upper gastrointestinal bleeding implies significant clinical and economic repercussions. The correct establish-ment of the latest therapies for the upper gastrointestinal bleeding is associated with reduced in-hospital mortality. The use of clinical pathways for the upper gastrointestinal bleeding is associated with shorter hospital stay and lower hospital costs. Objective- The primary objective is the development of a clinical care pathway for the management of patients with upper gastrointestinal bleeding, to be used in tertiary hospital. Methods- It was conducted an extensive literature review on the management of upper gastrointestinal bleeding, contained in the primary and secondary information sources. Results- The result is a clinical care pathway for the upper gastrointestinal bleeding in patients with evidence of recent bleeding, diagnosed by melena or hematemesis in the last 12 hours, who are admitted in the emergency rooms and intensive care units of tertiary hospitals. In this compact and understandable pathway, it is well demonstrated the management since the admission, with definition of the inclusion and exclusion criteria, passing through the initial clinical treatment, posterior guidance for endoscopic therapy, and referral to rescue therapies in cases of persistent or rebleeding. It was also included the care that must be taken before hospital discharge for all patients who recover from an episode of bleeding. Conclusion- The introduction of a clinical care pathway for patients with upper gastrointestinal bleeding may contribute to standardization of medical practices, decrease in waiting time for medications and services, length of hospital stay and costs |
| Disciplinas: | Medicina |
| Palabras clave: | Gastroenterología, Hematología, Diagnóstico, Hemorragia gastrointestinal, Hematemesis, Melena, Endoscopia, Vías críticas, Protocolos clínicos |
| Keyword: | Gastroenterology, Hematology, Diagnosis, Gastrointestinal hemorrhage, Hematemesis, Melena, Endoscopy, Critical pathways, Clinical protocols |
| Texto completo: | Texto completo (Ver PDF) |
