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• W2314907918 abstract "Background and aim: Gastrointestinal (GI) bleeding is the major cause of iron deficiency in men and post-menopausal women. The aim of this study is to determine whether patients admitted to the hospital with acute gastrointestinal blood loss anemia are being worked up for concomitant highly prevalent iron deficiency and adequately treated for it. Methods: Retrospective chart review of all patients admitted to a single tertiary care hospital between 11/1/2011 and 11/1/2012 for any type of gastrointestinal bleeding. The primary endpoint was the percentage of patients with iron studies performed during a hospitalization for GI blood loss anemia. Secondary outcomes included prevalence of iron deficiency in acute GI bleeders, percentage of anemic patients hospitalized for GI bleeding who had adequate documentation of anemia and iron deficiency, and those who were treated for their iron deficiency. Secondary outcomes also included identifying possible predictors of checking iron studies. Results: 126 charts of patients hospitalized for GI bleeding have been reviewed so far. 100 patients (79.4%) had anemia on admission, while 119 (94.4%) had anemia at some point during their hospitalization. 62 were transfused at least 1 unit of packed red blood cells. Out of 126 patients, only 34 (27%) had iron studies performed during hospitalization. 19 out of 34 had iron deficiency (55.9%) defined as serum Ferritin <45 ng/mL or transferrin iron saturation <15%. None of the 126 patients were discharged with recommendations to their primary care physicians to check iron studies as an outpatient. Out of 126 patients included so far in this cohort, 16 (12.7%), 27 (21.4%), and 23 (18.3%) were on iron supplements prior to their current hospitalization, received iron therapy during hospitalization, and were discharged on iron supplements, respectively. Out of the 19 patients with proven iron deficiency, only 12 (63.2%) received iron therapy during hospitalization while only 9 (47.4%) got discharged on iron supplements. 41 patients (32.5%) were admitted to a residency teaching service and 85 (67.5%) to a hospitalist non-teaching service. There were no significant differences between the 2 services in any patient characteristics or outcomes. Out of 119 patients that had anemia during hospitalization, 17 (14.3%) had no documented anemia in their chart, 10 (8.4%) had a documented iron deficiency anemia, and 92 (77.3%) had a documented anemia diagnosis in their chart without specification whether iron deficient or not. On multivariable analysis, the only predictors of checking iron studies were a lower hemoglobin (p=0.01; OR=1.6 (1.1-2.2)) and occult bleeding (p= 0.001; OR=7.1 (2.3-25.0)) Conclusion: Iron deficiency is under-diagnosed, under-recognized even when iron studies were checked, and finally under-treated in hospitalized patients with gastrointestinal bleeding." @default.
• W2314907918 created "2016-06-24" @default.
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• W2314907918 date "2014-05-01" @default.
• W2314907918 modified "2023-09-24" @default.
• W2314907918 title "Mo1965 Lack of Influence of Pulsatility on Gastrointestinal Bleeding in Patients With Continuous Flow Left Ventricular Assist Devices" @default.
• W2314907918 doi "https://doi.org/10.1016/s0016-5085(14)62554-3" @default.
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