The American College of Gastroenterology (ACG) Institute for Clinical Research and Education conducted a survey study to assess demographics, management strategies, and outcome for patients with gastrointestinal bleeding.
This pilot project was intended to determine the feasibility of surveying the ACG membership about common clinical issues.
Color-coded survey forms were sent to all ACG members and Fellows, with instructions to supply information about demographics, presenting symptoms, management, and outcome for bleeding patients and procedure-matched controls.
Forms returned between June 1 and August 31,1995, were tabulated and analyzed for differences between the bleeding group and procedure-matched controls.
A total of 1235 forms were returned by respondents, 60% of whom were in private practice.
Patient demographics indicated that bleeding patients were significantly older, more likely to be male, and more likely to use alcohol, tobacco, and prescription or over-the-counter aspirin or nonsteroidal anti-inflammatory drugs and anticoagulants than were controls.
Upper GI bleeding accounted for 76% of bleeding events, with duodenal and gastric ulcers being the source in more than 50% of the upper GI bleeders.
Diverticula was the most common bleeding source identified in lower GI bleeders.
In the bleeding group, 78.8% were anemic, with 60. (...)
Mots-clés Pascal : Hémorragie, Gastrointestinal, Surveillance, Incidence, Facteur risque, Conduite à tenir, Epidémiologie, Registre, Etude statistique, Homme, Etats Unis, Amérique du Nord, Amérique, Appareil digestif pathologie, Estomac pathologie, Intestin pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie
Mots-clés Pascal anglais : Hemorrhage, Gastrointestinal, Surveillance, Incidence, Risk factor, Clinical management, Epidemiology, Register, Statistical study, Human, United States, North America, America, Digestive diseases, Gastric disease, Intestinal disease, Cardiovascular disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0342373
Code Inist : 002B30A01A2. Création : 12/09/1997.