Short and long term course of elderly patients with peptic ulcer bleeding-analysis of factors influencing fatal outcome

Autor: S. Eriksson, A. Henningsson, Lars Lundell, A. Blomqvist, G. Hasselgren
Rok vydání: 2003
Předmět:
Zdroj: European Journal of Surgery. 164:685-691
ISSN: 1741-9271
1102-4151
DOI: 10.1080/110241598750005570
Popis: Objective: To study long and short term survival in patients aged 60 years or over admitted with a peptic ulcer bleeding and find out which factors influence outcome.Design: Cohort study with matched controls.Setting: Two emergency hospitals, SwedenPatients: 676 of the 687 patients aged 60 years or over admitted to the two emergency hospitals serving Gothenburg, Sweden during 1989&1993 who fulfilled the diagnostic criteria and whose case notes were available for study.Main outcome measures: Seven year survival rates and odds ratios for risk factors based on multiple logistic regression analyses.Results: 37 patients died and the timing was evenly distributed within the first 30 days of admission with a cumulated case-fatality rate of 5.5% at day 30. Mortality was increased among the patients compared with the control group during the subsequent years. Factors that influenced day 30 mortality were age and Forrest class.Conclusion: Mortality is increased among patients with peptic ulcer bleeding even long af...
Databáze: OpenAIRE