Acute upper gastrointestinal hemorrhage in older people: a prospective study in two neighboring districts
| Autor: | M. L. Datta-Chaudhuri, G. L. Bhan, J. M. Nankhonya |
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| Rok vydání: | 1997 |
| Předmět: |
Male
medicine.medical_specialty Malignancy Hemoglobins Melena Internal medicine medicine Humans Acute upper gastrointestinal hemorrhage Prospective Studies Prospective cohort study Aged medicine.diagnostic_test business.industry Mucosal lesions Anti-Inflammatory Agents Non-Steroidal Endoscopy medicine.disease Surgery Acute Disease Ulcerative esophagitis Female Geriatrics and Gerontology medicine.symptom business Older people Gastrointestinal Hemorrhage |
| Zdroj: | Journal of the American Geriatrics Society. 45(6) |
| ISSN: | 0002-8614 |
| Popis: | OBJECTIVE: To study the distribution of mucosal lesions and outcomes in older people with acute upper gastrointestinal hemorrhage (UGIH). DESIGN: Prospective case study. SETTING: Two neighboring district hospitals with similar admission policies. SUBJECTS: Consecutive patients aged 75 years or older admitted with hematemesis and/or melena during the study period. OUTCOME MEASURES: Length of hospital stay, mortality, surgical intervention, and transfusion requirements. RESULTS: A total of 109 patients were entered into the study. Of these, 106 (97%) underwent gastroscopy, and bleeding sites were identified in 98%. Upper gut malignancies were identified in eight patients, ulcerative esophagitis in 32, benign gastric ulcers in 24, and duodenal ulcers in 23 patients. Forty-seven percent had severe anemia on admission (Hb |
| Databáze: | OpenAIRE |
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