• Binod Karki, Tshering Wangdi Sherpa, Egesh Aryal, Alisha Adhikari, Binit Upadhaya Regmi, Srijana Katwal, Sujit Kumar Mandal, Rajeeb Kumar Deo, and Pravakar Dawadi.
• Department of Medicine, Shree Birendra Hospital, Chhauni, Kathmandu, Nepal.
• JNMA J Nepal Med Assoc. 2022 Apr 15; 60 (248): 360-363.

IntroductionUpper gastrointestinal bleeding is a common medical emergency with significant morbidity and mortality. Its causes can be classified under variceal bleeding or non-variceal bleeding. Peptic ulcer and variceal bleeding are common causes. Thus, this study aims to find the prevalence of upper gastrointestinal bleeding among patients attending the Department of Emergency in a tertiary care centre.MethodsThis was a descriptive cross-sectional study conducted on patients admitted to the Department of Emergency a tertiary care centre from September 2020 to August 2021 among 3375 patients. The ethical approval was obtained from the Institutional Review Committee of the hospital (Reference number: 328). Patients presenting with the clinical features of upper gastrointestinal bleeding in the form of hematemesis or melena were enrolled after written informed consent. Data entry was done in Statistical Packages for the Social Sciences version 20.0. for descriptive analysis. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage for binary data.ResultsOut of 3375 admissions in the Department of Emergency, 85 (2.52%) (1.99-3.05 at 95% Confidence Interval) patients presented with upper gastrointestinal bleeding.ConclusionsThe prevalence of upper gastrointestinal bleeding is lower in comparison to other studies done in similar settings.Keywordsbleeding; emergency medicine; upper gastrointestinal tract; varices.

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