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  1. Epidemiology of hospitalization for acute upper gastrointestinal hemorrhage : a population-based study.

    Article - En anglais

    Objectives 

    To obtain epidemiological data on hospitalization for acute upper gastrointestinal hemorrhage (AUGIH) in a demographically dehned population.

    Methods 

    Adults hospitalized in 1991 with AUGIH [from a San Diego health maintenance organization (270,699 adult members) ] were identified from discharge codes in the International Classification of Diseases, 9th Revision, Clinical Modifications, and their records were reviewed.

    Results 

    There were 276 hospitalizations among 258 patients, an annual incidence rate of 102.0 hospitalizations per 100,000.

    Patient analysis, including the hrst admission of 15 patients with multiple hospitalizations, revealed rates of 128.3 in males and 65.8 in females.

    The rate increased with age in males (p=0.008) and females (p=0.001) more than 30-fold between the 3rd and 9th decades of life.

    AUGIH started before admission in 242 (93.8%) patients and after admission for other disorders in 16 (6.2%) patients.

    Endoscopy was performed in 241 (93.4%) patients

    Diagnoses were :

    • peptic ulcer, 159 (61.6%) ;

    • mucosal erosive disease, 37 (14.3%) ;

    • varices, 16 (6.2%) ;

    • miscellaneous, 25 (9.7%) ;

    • and unknown, 21 (8.1%). Peptic ulcer patients were similar to other patients (mean±SE) in age [60.6±1.2 vs. 60.7±1.5 yr] and gender [104 (65.4%) vs. 60 (60.6%) males], but were more often nonsteroidal anti-inflammatory drug (NSAID) - users [87 (54.7%) vs. 34 (34.3%) (p=0.002) ].

    Mots-clés Pascal : Hémorragie, Gastrointestinal, Endoscopie, Epidémiologie, Hospitalisation, Diagnostic, Homme, Appareil digestif pathologie, Estomac pathologie, Intestin pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie

    Mots-clés Pascal anglais : Hemorrhage, Gastrointestinal, Endoscopy, Epidemiology, Hospitalization, Diagnosis, Human, Digestive diseases, Gastric disease, Intestinal disease, Cardiovascular disease, Vascular disease

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

    Cote : 95-0178177

    Code Inist : 002B13B03. Création : 09/06/1995.