PMID- 33779045
OWN - NLM
STAT- MEDLINE
DCOM- 20211210
LR  - 20211214
IS  - 1754-9485 (Electronic)
IS  - 1754-9477 (Linking)
VI  - 65
IP  - 7
DP  - 2021 Dec
TI  - Factors predicting positive CT mesenteric angiography results in lower 
      gastrointestinal haemorrhage prior to consideration of intra-arterial 
      angio-embolisation.
PG  - 841-845
LID - 10.1111/1754-9485.13176 [doi]
AB  - INTRODUCTION: Lower gastrointestinal haemorrhage (LGIH) is a challenging 
      phenomenon in a comorbid, elderly population. CT mesenteric angiography (CTMA) 
      allows localisation of the site of haemorrhage, and provides a target for 
      interventional techniques, but the intermittent nature of LGIH makes it 
      challenging to reliably demonstrate extravasation. This study aimed to identify 
      objective factors that may predict scan outcomes. METHODS: In this retrospective 
      cohort study, all patients undergoing CTMA for LGIH at Monash Health from January 
      2011 to December 2019 (n = 854) were included. Baseline patient characteristics 
      included age, bowel resection/endoscopic intervention within the past 14 days, 
      known bowel malignancy, anticoagulant/antiplatelet use, duration of symptoms, 
      vital signs, transfusion requirements in the past 24 h and investigation results 
      (recent haemoglobin levels, platelet count, international normalised ratio and 
      creatinine levels). Univariate analysis was performed, and significant factors 
      were entered into a multivariate model. RESULTS: The final multivariate model was 
      statistically significant (P < 0.001) and consisted of bowel resection/endoscopic 
      intervention within the past 14 days (OR = 2.15), use of antiplatelet agents 
      (OR = 2.03), blood transfusion requirement greater than 3 units per 24 h 
      (OR = 1.79), systolic blood pressure less than 100 mmHg (OR = 1.56) and heart 
      rate greater than 100 beats per minute (OR = 1.52). CONCLUSION: The factors 
      identified above are objective, independently associated with positive scan 
      outcomes, readily available to radiologists and are useful for more judicious 
      patient selection.
CI  - (c) 2021 The Royal Australian and New Zealand College of Radiologists.
FAU - Smith, Rohan Stuart
AU  - Smith RS
AUID- ORCID: 0000-0001-6236-8263
AD  - Monash Medical Centre, Monash Health, Clayton, Victoria, Australia.
FAU - Tan, Stephanie Wei Jia
AU  - Tan SWJ
AD  - Dandenong and Districts Hospital, Monash Health, Dandenong, Victoria, Australia.
FAU - Heath-Kalgutkar, Genevieve Ann
AU  - Heath-Kalgutkar GA
AD  - Monash Medical Centre, Monash Health, Clayton, Victoria, Australia.
FAU - Tran, Vu Hoang
AU  - Tran VH
AD  - Monash Medical Centre, Monash Health, Clayton, Victoria, Australia.
FAU - Rajagopalan, Ashray
AU  - Rajagopalan A
AUID- ORCID: 0000-0002-5421-7120
AD  - Monash Medical Centre, Monash Health, Clayton, Victoria, Australia.
FAU - Buckenham, Tim
AU  - Buckenham T
AD  - Dandenong and Districts Hospital, Monash Health, Dandenong, Victoria, Australia.
LA  - eng
PT  - Journal Article
DEP - 20210328
PL  - Australia
TA  - J Med Imaging Radiat Oncol
JT  - Journal of medical imaging and radiation oncology
JID - 101469340
SB  - IM
MH  - Aged
MH  - Angiography
MH  - Computed Tomography Angiography
MH  - *Embolization, Therapeutic
MH  - *Gastrointestinal Hemorrhage/diagnostic imaging/therapy
MH  - Humans
MH  - Retrospective Studies
OTO - NOTNLM
OT  - computed tomography angiography
OT  - gastrointestinal haemorrhage
OT  - haemorrhage
OT  - lower gastrointestinal tract
OT  - multidetector computed tomography
EDAT- 2021/03/30 06:00
MHDA- 2021/12/15 06:00
CRDT- 2021/03/29 07:00
PHST- 2020/10/19 00:00 [received]
PHST- 2021/03/07 00:00 [accepted]
PHST- 2021/03/30 06:00 [pubmed]
PHST- 2021/12/15 06:00 [medline]
PHST- 2021/03/29 07:00 [entrez]
AID - 10.1111/1754-9485.13176 [doi]
PST - ppublish
SO  - J Med Imaging Radiat Oncol. 2021 Dec;65(7):841-845. doi: 10.1111/1754-9485.13176. 
      Epub 2021 Mar 28.