title: [Related factors to re-bleeding and mortality in cirrhotic patients with acute variceal bleeding at Hipolito Unanue Hospital, Lima, Peru].
abstract: OBJECTIVE
  To determine related factors to 5 days re-bleeding and 6 week-mortality of an episode of variceal bleeding in cirrhotic patients.
  
  
  METHODS
  Observational, descriptive, co relational, retrospective study. In this study were included the cirrhotic patients who entered to Hipolito Unanue Hospital, Lima, Peru, between January 2006 and February 2012 with suspicion of variceal bleeding. Were excluded patients who bled from nonvariceal origin, or that did not have the data in clinical history to calculate the Child Pugh score, the Model for terminal diseases of the liver (MELD), or the endoscopic report detailing the bleeding source and the presence of esophageal and/or gastric varices.
  
  
  RESULTS
  We include 63 patients, 35 (55.6%) were men. The median of age was of 64 years. 26 of them (41.3%) were Child Pugh C, where as the median of MELD score was 9. The multivariate analysis found that the Child Pugh score was related to 6 weeks-mortality (p=0,003), where as the presence of active bleeding during endoscopy (p=0.012) and the value of creatinine (p=0.012) were related to 5 days re-bleeding.
  
  
  CONCLUSIONS
  The Child Pugh score was related to 6 weeks-mortality in cirrhotic patients with variceal bleeding. Active bleeding during endoscopy and the value of creatinine were related to 5 days re-bleeding.
authors.affiliation: Servicio de Gastroenterología, Hospital Nacional Hipólito Unanue. Lima, Perú.
authors.forename: Víctor Felipe
authors.initials: VF
authors.lastname: Parra Pérez
authors.affiliation: Servicio de Gastroenterología, Hospital Nacional Hipólito Unanue. Lima, Perú.
authors.forename: Roxana Magali
authors.initials: RM
authors.lastname: Raymundo Cajo
authors.affiliation: Servicio de Gastroenterología, Hospital Nacional Hipólito Unanue. Lima, Perú.
authors.forename: Constantino Fernando
authors.initials: CF
authors.lastname: Gutiérrez de Aranguren
mesh_terms: D000208:Acute Disease; D000368:Aged; D004932:Esophageal and Gastric Varices / Q000150:complications* / Q000401:mortality*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000401:mortality*; D006761:Hospitals; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications* / Q000401:mortality*; D008297:Male; D008875:Middle Aged; D010568:Peru; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors