| Upper gastrointestinal bleeding: predictors of outcome. | |
| | |
MedLine Citation:
|
PMID: 3490003 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
We reviewed the records of 115 patients treated for upper gastrointestinal (UGI) bleeding on a general surgical and trauma service from January 1981 to June 1984. Clinical variables were analyzed with regard to three outcome criteria: mortality rate, blood transfusion requirements, and need for operation. Endoscopy was performed in all patients, usually within 24 hours of detection of bleeding. Thirty-six patients required greater than or equal to 5 U of blood, 27 patients required an operation for bleeding, and 26 patients (23%) died in the hospital. In 19 patients, death was attributed to the patient's underlying disease; in seven patients, death was due to bleeding or operation. Significant predictors of death were: age greater than or equal to 60 years old (p less than or equal to 0.02), disease in three organ systems (p less than 0.05), 5 U transfusion requirement (p less than 0.001), operation for bleeding necessary (p less than 0.03), lung/liver disease (p less than 0.03), and recent stress of major operation, trauma, or sepsis. Mortality rates were highest for bleeding varices (36%) and lowest for duodenal ulcers (7.7%) and gastric ulcers (15.8%). Endoscopy accurately determined the cause of UGI bleeding in most patients. The data suggest that the unchanging mortality rate for UGI bleeding is largely due to underlying disease or injury for which the success of current treatment is limited. |
| | |
Authors:
|
G Larson; T Schmidt; J Gott; S Bond; C A O'Connor; J D Richardson |
Related Documents
:
|
11904113 - Gastrointestinal involvement in polyarteritis nodosa (1986-2000): presentation and outc... 9527003 - Secondary hemorrhage after intraventricular fibrinolysis: a cautionary note: a report o... 15713193 - Topiramate in long-term treatment of epilepsy in the intellectually disabled. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Surgery Volume: 100 ISSN: 0039-6060 ISO Abbreviation: Surgery Publication Date: 1986 Oct |
Date Detail:
|
Created Date: 1986-10-30 Completed Date: 1986-10-30 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0417347 Medline TA: Surgery Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 765-73 Citation Subset: AIM; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Age Factors Aged Aged, 80 and over Blood Transfusion Endoscopy Gastritis / mortality Gastrointestinal Hemorrhage / etiology, mortality*, surgery Humans Middle Aged Peptic Ulcer Hemorrhage / mortality Prognosis |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Gardnerella vaginalis-associated balanoposthitis.
Next Document: Prostaglandins and the immunological indices of patients with chronic heart failure