title: Gastrointestinal bleeding after intracerebral hemorrhage: a retrospective review of 808 cases.
abstract: BACKGROUND
  This study examined the incidence and risk factors for gastrointestinal (GI) bleeding after spontaneous intracerebral hemorrhage (ICH).
  
  
  METHODS
  The available medical records of patients with ICH admitted from June 2008 to December 2009 for any episode of GI bleeding, possible precipitating factors and administration of ulcer prophylaxis were reviewed.
  
  
  RESULTS
  The prevalence of GI bleeding was 26.7%, including 3 cases of severe GI bleeding (0.35%). Patients with GI bleeding had significantly longer hospital stay and higher in-hospital mortality compared with patients without GI bleeding. Multivariate logistic regression analyses showed that age, Glasgow Coma Scale scores, sepsis and ICH volume were independent predictors of GI bleeding. About 63.4% of patients with ICH received stress ulcer prophylaxis.
  
  
  CONCLUSIONS
  GI bleeding occurred frequently after ICH, but severe events were rare. Age, Glasgow Coma Scale score, sepsis and ICH volume were independent predictors of GI bleeding occurring after ICH.
authors.affiliation: Department of Emergency (T-CY, J-GL, D-MY, KS, L-XL, X-YD, T-HR), Beijing Tiantan Hospital, Capital Medical University, Beijing, China; and Chongwen District Centers for Disease Control and Prevention (H-MS), Beijing, China.
authors.forename: Tie-Cheng
authors.initials: TC
authors.lastname: Yang
authors.forename: Jian-Guo
authors.initials: JG
authors.lastname: Li
authors.forename: Hong-Mei
authors.initials: HM
authors.lastname: Shi
authors.forename: Dong-Ming
authors.initials: DM
authors.lastname: Yu
authors.forename: Kai
authors.initials: K
authors.lastname: Shan
authors.forename: Li-Xia
authors.initials: LX
authors.lastname: Li
authors.forename: Xiao-Yan
authors.initials: XY
authors.lastname: Dong
authors.forename: Tian-Hua
authors.initials: TH
authors.lastname: Ren
mesh_terms: D000328:Adult; D000368:Aged; D002543:Cerebral Hemorrhage / Q000150:complications / Q000453:epidemiology* / Q000401:mortality; D002681:China / Q000453:epidemiology; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000150:complications / Q000188:drug therapy / Q000453:epidemiology* / Q000401:mortality; D015600:Glasgow Coma Scale; D017052:Hospital Mortality; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012189:Retrospective Studies; D012307:Risk Factors; D013276:Stomach Ulcer / Q000150:complications / Q000188:drug therapy / Q000453:epidemiology*