Evolución en la epidemiología de la hemorragia digestiva alta no varicosa desde el año 1985 hasta 2006

Hernández, A; Galván, Javier de Teresa; Jiménez, M. Ruiz-Cabello; Julián, Luciano

doi:10.4321/s1130-01082008000500005

Cited by 6 publications

(5 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our analysis, rebleeding was encountered in 7.72% of cases, and surgery was needed in 3.22% of patients. The differences of rebleeding rate among studies may be the result of various proportions of patients receiving combined endoscopic hemostasis vs pharmacologic therapy[9,18-22]. Similar to other studies, rebleeding proved to be an independent predictor of death due to a bleeding episode in our research ( P < 0.001).…”

Section: Discussionsupporting

confidence: 86%

See 1 more Smart Citation

Predictors of rebleeding and in-hospital mortality in patients with nonvariceal upper digestive bleeding

Lazăr

Ursoniu

Goldiş

2019

WJCC

View full text Add to dashboard Cite

BACKGROUNDNonvariceal upper digestive bleeding (NVUDB) represents a severe emergency condition and is associated with significant morbidity and mortality. Despite a decrease in the incidence due to the widespread use of potent therapy with proton pump inhibitors as well as the implementation of modern endoscopic techniques, the mortality rate associated with NVUDB is still high.AIMTo identify the clinical, biological, and endoscopic parameters associated with a poor outcome in patients with NVUDB to allow the stratification of risk, which will lead to the implementation of the most accurate management.METHODSWe performed a retrospective study including patients who were admitted to the Gastroenterology Department of Clinical Emergency County Hospital Timisoara, Romania, with a diagnosis of NVUDB between 1 January 2008 and 31 December 2016. All the data were collected from the patient’s records, including demographic data, medication history, hemodynamic status, paraclinical tests, and endoscopic features as well as the methods of hemostasis, rate of rebleeding, need for surgery and death; we also assessed the Rockall score of the patients, length of hospitalization and associated comorbidities. All these parameters were evaluated as potential risk factors associated with rebleeding and death in patients with NVUDB.RESULTSWe included a batch of 1581 patients with NVUDB, including 523 (33%) females and 1058 (67%) males with a median age of 66 years. The main cause of NVUDB was peptic ulcer (73% of patients). More than one-third of the patients needed endoscopic treatment. Rebleeding rate was 7.72%; surgery due to failure of endoscopic hemostasis was needed in 3.22% of cases; the in-hospital mortality rate was 8.09%, and the bleeding-episode-related mortality rate was 2.97%. Although our predictive models for rebleeding and death had a low sensitivity, the specificity was very high, suggesting a better discriminative capacity for identifying patients with better outcomes. Our results showed that the Rockall score was associated with both rebleeding and death; comorbidities such as respiratory conditions, liver cirrhosis and sepsis increased significantly the risk of in-hospital mortality (OR of 3.29, 2.91 and 8.03).CONCLUSIONOur study revealed that the Rockall score, need for endoscopic therapy, necessity of transfusion and sepsis were risk factors for rebleeding. Moreover, an increased Rockall score and the presence of comorbidities were predictive factors for in-hospital mortality.

show abstract

Section: Discussionsupporting

confidence: 86%

“…Our study reveals both differences and similarities compared to other similar research (Table 10)[1-17]. The age of patients may be the result of the age distribution of different populations[1,14,18]. In conformity with the literature, our results revealed that peptic ulcer represents the most common etiology of NVUDB (73% of cases)[7].…”

Section: Discussionsupporting

confidence: 81%

Predictors of rebleeding and in-hospital mortality in patients with nonvariceal upper digestive bleeding

Lazăr

Ursoniu

Goldiş

2019

WJCC

View full text Add to dashboard Cite

show abstract

“…Our population has a mean age of 49 years with extremes ranging from 12 to 100 years. These data coincide with those described in the two series in the same endoscopic unit in 1982 and 1999 [9, 10], but they are different from those described in the literature, where the mean age was between 58 and 73 years [5, 8, 11–13]. This can be explained by the youth of the Moroccan population.…”

Section: Discussionsupporting

confidence: 85%

“…They can appear more frequently in the elderly population [13]. In the present study, 12% of patients had a history of a previous bleeding.…”

Section: Discussionmentioning

confidence: 54%

Acute Upper Gastro-Intestinal Bleeding in Morocco: What Have Changed?

Timraz

Khannoussi

Ajana

et al. 2011

ISRN Gastroenterology

View full text Add to dashboard Cite

Objective. In the present study, we aimed to investigate epidemiological, clinical, and etiological characteristics of acute upper gastro-intestinal bleeding. Materials and Methods. This retrospective study was conducted between January 2003 and December 2008. It concerned all cases of acute upper gastroduodenal bleeding benefited from an urgent gastro-intestinal endoscopy in our department in Morocco. Characteristics of patients were evaluated in terms of age, gender, medical history, presenting symptoms, results of rectal and clinical examinations, and endoscopy findings. Results. 1389 cases were registered. As 66% of the patients were male, 34% were female. Mean age was 49. 12% of patients had a history of previous hemorrhage, and 26% had a history of NSAID and aspirin use. Endoscopy was performed in 96%. The gastroduodenal ulcer was the main etiology in 38%, followed by gastritis and duodenitis in 32.5%. Conclusion. AUGIB is still a frequent pathology, threatening patients' life. NSAID and aspirin are still the major risk factors. Their impact due to peptic ulcer remains stable in our country.

show abstract

“…Gastrointestinal angiodysplasia was found in 75 endoscopies, 55 gastric and 25 duodenal, and an AB rate of 18.2% and 57.4% respectively. Dieulafoy’s lesion was described in 23 patients, 15 gastric and 8 duodenal, and an AB rate of 80% and 50% each 1 2 .…”

mentioning

confidence: 99%

Analysis of urgent gastroscopies in non-variceal upper gastrointestinal bleeding in a terciary hospital: a retrospective study

Roncero,

Bógalo,

Espuche

et al. 2023

Endoscopy

View full text Add to dashboard Cite

Evolución en la epidemiología de la hemorragia digestiva alta no varicosa desde el año 1985 hasta 2006

Cited by 6 publications

References 20 publications

Predictors of rebleeding and in-hospital mortality in patients with nonvariceal upper digestive bleeding

Predictors of rebleeding and in-hospital mortality in patients with nonvariceal upper digestive bleeding

Acute Upper Gastro-Intestinal Bleeding in Morocco: What Have Changed?

Analysis of urgent gastroscopies in non-variceal upper gastrointestinal bleeding in a terciary hospital: a retrospective study

Contact Info

Product

Resources

About