ArticleClinical and experimental gastroenterology2009
Mortality associated with gastrointestinal bleeding events: Comparing short-term clinical outcomes of patients hospitalized for upper GI bleeding and acute myocardial infarction in a US managed care setting.
Article in Clinical and experimental gastroenterology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Etiology and Short-Term Outcomes of Upper Gastrointestinal Bleeding in Patients Presenting at the Emergency Department in a Tertiary Hospital in a Low Resource Setting-A Prospective Cohort Study.JGH open : an open access journal of gastroenterology and hepatology · 2025Article
- Diagnostic utility of CT angiography compared with endoscopy in patients with acute GI hemorrhage.Gastrointestinal endoscopy · 2024Article
- [Mortality Risk Factors for Inpatients with Ischemic Heart Disease Complicated with Gastrointestinal Bleeding].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2021Article
- Treatment of severe upper gastrointestinal bleeding caused by Mallory-Weiss syndrome after primary coronary intervention for acute inferior wall myocardial infarction: A case report.World journal of clinical cases · 2019Article
- Detection of Bleeding Events in Electronic Health Record Notes Using Convolutional Neural Network Models Enhanced With Recurrent Neural Network Autoencoders: Deep Learning Approach.JMIR medical informatics · 2019Article
- Acute Myocardial Infarction with Simultaneous Gastric Perforation.Clinical practice and cases in emergency medicine · 2017Article
- Spontaneously reported haemorrhagic adverse events associated with rivaroxaban and dabigatran in Australia.Therapeutic advances in drug safety · 2016Article
- Hemophagocytic Lymphohistiocytosis and Gastrointestinal Bleeding: What a Surgeon Should Know.Case reports in surgery · 2015Article
- Management of variceal and nonvariceal upper gastrointestinal bleeding in patients with cirrhosis.Therapeutic advances in gastroenterology · 2014Review
- Risk factors of in-hospital mortality among patients with upper gastrointestinal bleeding and acute myocardial infarction.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology AssociationArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo compare the short-term mortality rates of gastrointestinal (GI) bleeding to those of acute myocardial infarction (AMI) by estimating the 30-, 60-, and 90-day mortality among hospitalized patients.
methodsUnited States national health plan claims data (1999-2003) were used to identify patients hospitalized with a GI bleeding event. Patients were propensity-matched to AMI patients with no evidence of GI bleed from the same US health plan.
results12,437 upper GI-bleed patients and 22,847 AMI patients were identified. Propensity score matching yielded 6,923 matched pairs. Matched cohorts were found to have a similar Charlson Comorbidity Index score and to be similar on nearly all utilization and cost measures (excepting emergency room costs). A comparison of outcomes among the matched cohorts found that AMI patients had higher rates of 30-day mortality (4.35% vs 2.54%; p < 0.0001) and rehospitalization (2.56% vs 1.79%; p = 0.002), while GI bleed patients were more likely to have a repeat procedure (72.38% vs 44.95%; p < 0.001) following their initial hospitalization. The majority of the difference in overall 30-day mortality between GI bleed and AMI patients was accounted for by mortality during the initial hospitalization (1.91% vs 3.58%).
conclusionsGI bleeding events result in significant mortality similar to that of an AMI after adjusting for the initial hospitalization.
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