To determine the incidence and case fatality of acute upper gastrointestinal haemorrhage in the west of Scotland and to identify associated factors.
Case ascertainment study.
All hospitals treating adults with acute upper gastrointestinal haemorrhage in the west of Scotland.
1882 patients aged 15 years and over treated in hospitals for acute upper gastrointestinal haemorrhage during a six month period.
Incidence of acute upper gastrointestinal haemorrhage per 100 000 population per year, and case fatality.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0450605
Code Inist : 002B13B03. Création : 03/02/1998.