ArticleCanadian journal of gastroenterology & hepatology2014
Regional differences in outcomes of nonvariceal upper gastrointestinal bleeding in Saskatchewan.
Article in Canadian journal of gastroenterology & hepatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- The global epidemiology of upper and lower gastrointestinal bleeding in general population: A systematic review.World journal of gastrointestinal surgery · 2023Article
- A prospective cohort study of patients presenting to the emergency department with upper gastrointestinal bleeding.Journal of family medicine and primary care · 2021Article
- UEG Week 2019 Poster Presentations.United European gastroenterology journal · 2019Article
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Authors and funding
5 authors.
Funding
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Abstract
backgroundNonvariceal upper gastrointestinal bleeding (NVUGIB) is associated with significant mortality.
objectiveTo examine several factors that may impact the mortality and 30-day rebleed rates of patients presenting with NVUGIB.
methodsA retrospective study of the charts of patients admitted to hospital in either the Saskatoon Health Region (SHR) or Regina Qu'Appelle Health Region (RQHR) (Saskatchewan) in 2008 and 2009 was performed. Mortality and 30-day rebleed end points were stratified according to age, sex, day of admission, patient status, health region, specialty of the endoscopist and time to endoscopy. Logistic regression modelling was performed, controlling for the Charlson comorbidity index, age and sex as covariates.
resultsThe overall mortality rate observed was 12.2% (n=44), while the overall 30-day rebleed rate was 20.3% (n=80). Inpatient status at the time of the rebleeding event was associated with a significantly increased risk of both mortality and rebleed, while having endoscopy performed in the RQHR versus SHR was associated with a significantly decreased risk of rebleed. A larger proportion of endoscopies were performed both within 24 h and by a gastroenterologist in the RQHR.
conclusionSaskatchewan has relatively high rates of mortality and 30-day rebleeding among patients with NVUGIB compared with published rates. The improved outcomes observed in the RQHR, when compared with the SHR, may be related to the employ of a formal call-back endoscopy team for the treatment of NVUGIB.
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