Document Detail


Prospective evaluation of patients with upper gastrointestinal haemorrhage.
MedLine Citation:
PMID:  6332289     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A prospective study was conducted to collect data on clinical and endoscopic diagnosis, associated factors and outcome of 112 consecutive patients with acute upper gastrointestinal haemorrhage admitted to the Dunedin public hospitals over an 18 month period. The mean interval between admission and endoscopy was 20.2 hours. There was a poor correlation between the provisional clinical diagnosis and the endoscopic diagnosis. The causes of bleeding were demonstrated at endoscopy in 87.5% of patients. A history of salicylate, non-steroidal anti-inflammatory drug or significant alcohol ingestion was present in about two-thirds of patients with mucosal abnormalities. The incidence of continued or repeated bleeding was 16%; peptic ulcers accounted for half of these patients. The presence of active bleeding or a visible vessel or blood clot on the ulcer surface indicated a 33% chance of rebleeding; none of the peptic ulcer patients without these signs rebled. Surgery was performed in 11.6% of patients, predominantly for peptic ulcer. The overall mortality was 8% (reducing to 5.4% if patients dying in hepatic failure are excluded), most of the deaths occurring in older patients with complicating medical conditions, and not from uncontrolled haemorrhage.
Authors:
M Schlup; G O Barbezat; B P Maclaurin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The New Zealand medical journal     Volume:  97     ISSN:  0028-8446     ISO Abbreviation:  N. Z. Med. J.     Publication Date:  1984 Aug 
Date Detail:
Created Date:  1984-10-19     Completed Date:  1984-10-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401067     Medline TA:  N Z Med J     Country:  NEW ZEALAND    
Other Details:
Languages:  eng     Pagination:  511-5     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Endoscopy
Female
Gastrointestinal Hemorrhage / radiography*
Humans
Male
Middle Aged
Prospective Studies
Recurrence

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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