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  1. Acute upper gastrointestinal haemorrhage in west of Scotland : case ascertainment study.

    Article - En anglais

    Objectives 

    To determine the incidence and case fatality of acute upper gastrointestinal haemorrhage in the west of Scotland and to identify associated factors.

    Design 

    Case ascertainment study.

    Setting 

    All hospitals treating adults with acute upper gastrointestinal haemorrhage in the west of Scotland.

    Subjects 

    1882 patients aged 15 years and over treated in hospitals for acute upper gastrointestinal haemorrhage during a six month period.

    Main outcome measures 

    Incidence of acute upper gastrointestinal haemorrhage per 100 000 population per year, and case fatality.

    Results 

    The annual incidence was 172 per 100 000 people aged 15 and over.

    The annual population mortality was 14.0 per 100 000.

    Both were higher among elderly people, men, and patients resident in areas of greater social deprivation.

    Overall case fatality was 8.2%, This was higher among those who bled as inpatients after admission for other reasons (42%) and those admitted as tertiary referrals (16%). Factors associated with increased case fatality were age, uraemia, pre-existing malignancy, hepatic failure, hypotension, cardiac failure, and frank haematemesis or a history of syncope at presentation.

    Social deprivation, sex, and anaemia were not associated with increased case fatality after adjustment for other factors. (...)

    Mots-clés Pascal : Gastrointestinal, Hémorragie, Incidence, Facteur risque, Etiologie, Enquête socioéconomique, Helicobacter pylori, Spirillaceae, Spirillales, Bactérie, Prévalence, Homme, Ecosse, Grande Bretagne, Royaume Uni, Europe, Appareil digestif pathologie, Estomac pathologie, Intestin pathologie, Bactériose, Infection

    Mots-clés Pascal anglais : Gastrointestinal, Hemorrhage, Incidence, Risk factor, Etiology, Socioeconomical inquiry, Helicobacter pylori, Spirillaceae, Spirillales, Bacteria, Prevalence, Human, Scotland, Great Britain, United Kingdom, Europe, Digestive diseases, Gastric disease, Intestinal disease, Bacteriosis, Infection

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0450605

    Code Inist : 002B13B03. Création : 03/02/1998.