Gastroenterol Res

Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access

Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc

Journal website http://www.gastrores.org

Original Article

Volume 10, Number 4, August 2017, pages 238-243

Prognostic Significance of Elevated Cardiac Troponin in Acute Gastrointestinal Bleeding

Figures

Figure 1. Patients admitted with acute gastrointestinal bleeding (AGIB).

Figure 2. Mortality in % and length of stay (LOS) in days.

Tables

**Table 1.** Univariate Association Between Patients With Troponin Elevation and Normal Troponin
Characteristics	Elevated troponin						P-value
	No (n = 261)		Yes (n = 29)		Total (n = 290)
	n	%	n	%	n	%
Age (mean, SD)	69.6		74.3		70		0.07
Male	139	53.3	18	62.1	157	54.14	0.36
Female	122	46.7	11	37.9	133	45.9
BMI (mean, SD)	29.36	8.61	28.63	5.9	29.25	8.32	0.88
Hemoglobin, g/dL (mean, SD)	10.47	3	9.79	2.91	10.42	3.01	0.20
CCS (mean, SD)	2.6	2.47	4.21	2.37	2.79	2.5	0.00*
Past hx of GI bleed	88	33.7	7	24.1	95	32.76	0.29
Elevated INR	79	30.3	8	27.6	87	30	0.76
Elevated creatinine	77	29.5	15	51.7	92	31.73	0.015*
Hypotension	32	12.3	4	13.8	36	12.42	0.81
Smoking	150	57.5	13	44.8	163	56.21	0.19
Alcohol	81	31.0	7	24.1	88	30.35	0.44
COPD	49	18.8	2	6.9	51	17.59	0.11
CAD	77	29.5	17	58.6	94	32.42	0.001*
Diabetes	79	30.3	18	62.1	97	33.45	0.001
HTN	177	67.8	26	89.7	203	70	0.015*
No. of blood transfusion units	3.2	3.02	2.88	1.37	3.14	2.86	0.51
CKD	51	19.5	7	24.1	58	20	0.55
Afib	71	27.2	7	24.1	78	26.9	0.72
CLD	20	7.7	1	3.4	21	7.25	0.40
CHF	52	19.9	11	37.9	63	21.73	0.02*
Readmission	52	19.9	8	27.6	60	20.69	0.33
Rebleeding	25	9.6	4	13.8	29	10	0.478
Death in 30 days	13	5.0	6	20.7	19	6.56	0.001*
LOS	5	8.32	6	3.62	5.2	7.94	0.02*

**Table 2.** Multivariate Logistic Regression Revealed High Odds of Mortality in Patient With Troponin Elevation
Variable	Odds ratio (unadjusted)	95% CI (unadjusted)	P	Odds ratio (adjusted)	95% CI (adjusted)	P
LOS	1.01	0.97 - 1.05	0.71
Elevated creatinine	2.57	1.18 - 5.56	0.01*	2.43	1.08 - 5.51	0.034*
Smoking	0.61	0.28 - 1.31	0.19	0.37	0.16 - 0.86	0.02*
COPD	0.33	0.08 - 1.4	0.12
CAD	3.39	1.55 - 7.43	0.002*
CHF	2.46	1.1 - 5.52	0.03*
Death in 30 days	4.98	1.73 - 14.33	0.003*	5.50	1.73 - 17.47	0.004*
HTN	0.11	0.38 - 3.51	0.81