Disability and Severe Gastrointestinal Hemorrhage. A Prospective Study of Community‐Dwelling Older Persons

Abstract

In this prospective analysis, disability is an independent predictor of gastrointestinal hemorrhage. Further studies are needed to explain the mechanisms by which disability may cause gastrointestinal hemorrhage. Because physical disability is potentially modifiable, strategies to lower the risk of gastrointestinal bleeding should be evaluated.

The risk of upper gastrointestinal bleeding in patients treated with hemodialysis: a population-based cohort study

“…Moreover, regular chart-review and cross-checking mechanisms conducted by Taiwan’s NHI Bureau do facilitate the accuracy of coding [20]. Second, although we adjusted for several potential confounders in the statistical analysis, a number of possible confounding variables, including smoking [21], alcohol use [22], physical inactivity [21,23], and Helicobacter pylori infection [24], which might be associated with UGIB development were not included in our database. These unmeasured risk factors might have biased results if they were differentially associated with case versus comparison cohort.…”

Gastrointestinal Disease Control After Histamine2‐Receptor Antagonist Dose Modification for Renal Impairment in Frail Chronically Ill Elderly Patients

“…Although the rate of major bleeding between the groups was not significant, the small number of bleeding events raises uncertainty about this conclusion (i.e., beta error). However, the overall incidence of bleeding in this study is similar to that for the general population of individuals aged 80 and older in the Cardiovascular Health Study and the Established Populations for Epidemiologic Studies of the Elderly 33,34 . The association of a particular diagnosis and paired hemoglobin values before and after this study's intervention outcomes were not statistically analyzed because of an insufficient number of patients.…”

Upper Gastrointestinal Endoscopy in Patients Aged 65 Years or Older: Indications and Main Findings From a Referral Hospital, Jazan, Saudi Arabia

“…8,9 Endoscopy of the upper gastrointestinal tract is a safe and easily carried out procedure of high diagnostic value and also therapeutic value in some cases. 10 Increase in human age is associated with decline in physiological functioning of the major organ systems. The incidence of gastrointestinal bleeding rises with age, and major GI bleeding may lead to death.…”

“…The incidence of gastrointestinal bleeding rises with age, and major GI bleeding may lead to death. [10][11][12] Geriatric patients are at increased risk for peptic ulcer and cancers. 13,14 Also, it is well known that the incidence of both esophageal and gastric cancer are distinctly higher in aged patients as compared to young people.…”