| Autor: |
Sumit, Sourabh, Neetu, Sharma, Rajesh, Sharma, Ramesh, Kumar, Surinder, Thakur, Vishal, Bodh, Brij, Sharma |
| Rok vydání: |
2019 |
| Předmět: |
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| Zdroj: |
The Journal of the Association of Physicians of India. 67(9) |
| ISSN: |
0004-5772 |
| Popis: |
To determine the clinical profile, severity and outcome of acute upper gastrointestinal bleeding (UGIB) in elderly subjects (60 years) compared to the non elderly ones (60 years).In a prospective observational study, 380 consecutive adult patients presenting with acute UGIB were enrolled. Patients were divided into two groups: elderly (≥60 years) and non-elderly (60 years).Out of 380 patients, 254(66.84%) patients were non-elderly and 126(33.15%) patients were elderly. The proportion of patients with co-morbidity and consumption of non-steroidal anti-inflammatory drugs was higher among elderly patients. The commonest mode of presentation was hematemesis and melena in the both groups, while isolated hematochezia (29% vs. 1.9%, p0.01) was more common in elderly group. The variceal bleeding was significantly higher among non-elderly group (38.1% vs. 18.2%, p0.01) and bleeding from gastric or duodenal ulcer was the predominant cause of bleeding among elderly group (65% vs. 43% p0.01). The proportion of patients with tachycardia (68.2% vs. 20%, p0.01), postural hypotension (29.3% vs. 14.9%, p0.01) and blood transfusion requirement of 4 units or more (20.2% vs. 10.1%, p0.01) was significantly higher among elderly group than in non-elderly group. Despite similar re-bleeding rates, mortality rate was significantly higher in elderly patients compared to the non-elderly patients (10.32% vs. 1.94%, p0.01).Nearly 33% of the patients with acute UGIB are over 60 years old. The severity of bleeding and mortality rates was higher in elderly in comparison to non-elderly patients. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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