The role of an open-access bleeding unit in the management of colonic haemorrhage. A 2-year prospective study
| Autor: | K. Park, P. W. Brunt, J. W. Masson, Andrew Fraser, N. A. G. Mowat, A W McKinlay, G. M. Mcknight, K. Herd, P. N. Bramley, T. S. Sinclair |
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| Rok vydání: | 1996 |
| Předmět: |
Adult
Male medicine.medical_specialty Severity of Illness Index Colonic Diseases Emergency surgery medicine Humans Prospective Studies Prospective cohort study Inflammatory colitis Aged Aged 80 and over Vascular disease business.industry Gastroenterology Colonic haemorrhage Gastrointestinal haemorrhage Middle Aged medicine.disease Surgery Hospitalization Survival Rate Diverticular disease Disease Progression Female Upper gastrointestinal bleeding Triage business Gastrointestinal Hemorrhage |
| Zdroj: | Scandinavian journal of gastroenterology. 31(8) |
| ISSN: | 0036-5521 |
| Popis: | Major colonic haemorrhage poses difficult diagnostic and therapeutic problems and, in contrast to upper gastrointestinal bleeding, has no generally accepted plan of management.We report community-based prospective data accumulated over 2 years (1991-93) on 1602 patients referred to an open-access bleeding unit with suspected gastrointestinal haemorrhage.Of 278 (17%) admissions with suspected lower GI haemorrhage, 252 were confirmed. Forty-eight per cent were defined as "significant' bleeds, with a decrease in haemoglobin and cardiovascular compromise. Of 102 significant bleeds in subjects more than 60 years old, 29% rebled, and 12.6% required emergency surgery. Diverticular disease (24%) was the commonest diagnosis, with tumours, infective colitis, and inflammatory colitis each at 10%. The overall 30-day mortality for colonic bleeding was 5.1% (13 of 252), with only 1 death occurring in the group less than 60 years old.This study provides a unique database for the natural history of colonic bleeding and its management within the setting of a specialized bleeding unit. |
| Databáze: | OpenAIRE |
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