Ulcera de estrés en UCI: factores de riesgo

Risk factors for stress ulceration for a patient in the ICU:

1. mechanical ventilation
2. coagulopathy
3. head injury with Glasgow coma score <= 10 or inability to obey simple commands
4. thermal burn involving > 35% of body surface area
5. partial hepatectomy
6. transplantation patient perioperatively
7. multiple trauma with injury severity score >= 16
8. spinal cord injury
9. hepatic failure
10. past history of gastric ulceration or gastric bleeding during the year prior to admission
11. 2 or more of the following findings: ICU stay > 7 days, sepsis, use of high-dose corticosteroids (equivalent to > 250 mg per day of hydrocortisone), or occult or overt bleeding for >= 6 days

 Referenceias:

ASHP therapeutic guidelines on stress ulcer prophylaxis. pages 579-609 (page 585-586). IN: Deffenbaugh JH (editor) Best Practices for Health-System Pharmacy, 2002-2003 Edition. American Society for Health System Pharmacists. 2003.

Cook DJ. 17.1.26 Stress ulcer prophylaxis and antiulcer drugs. pages 1277-1280. IN: Webb AR, Shapiro MJ, et al (editors). Oxford Textbook of Critical Care. Oxford University Press. 1999.