Evidence map›Paper›PMID 31839875›Full record

ArticleWorld journal of gastrointestinal endoscopy2019

In-hospital acute upper gastrointestinal bleeding: What is the scope of the problem?

Fady G Haddad, Talal El Imad, Najib Nassani, Raymond Kwok, Hassan Al Moussawi, Abhishek Polavarapu, Moiz Ahmed, Youssef El Douaihy, Liliane Deeb

Open access · hybridAbstract read
In one paragraph

Article in World journal of gastrointestinal endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Fady G HaddadDepartment of Gastroenterology and Hepatology, Staten Island University Hospital, Staten Island, NY 10305, United States. fhaddad@northwell.edu.
Talal El ImadDepartment of Gastroenterology and Hepatology, Staten Island University Hospital, Staten Island, NY 10305, United States.
Najib NassaniDepartment of Gastroenterology and Hepatology, University of Illinois at Chicago, Chicago, IL 60607, United States.
Raymond KwokDepartment of Internal Medicine, Staten Island University Hospital, Staten Island, NY 10305, United States.
Hassan Al MoussawiDepartment of Gastroenterology and Hepatology, Staten Island University Hospital, Staten Island, NY 10305, United States.
Abhishek PolavarapuDepartment of Gastroenterology and Hepatology, Staten Island University Hospital, Staten Island, NY 10305, United States.
Moiz AhmedDepartment of Gastroenterology and Hepatology, Icahn School of Medicine at Mount Sinai Elmhurst Hospital Center, Elmhurst, NY 11373, United States.
Youssef El DouaihyDepartment of Gastroenterology and Hepatology, Staten Island University Hospital, Staten Island, NY 10305, United States.
Liliane DeebDepartment of Gastroenterology and Hepatology, Staten Island University Hospital, Staten Island, NY 10305, United States.
Elmhurst Hospital Center · USIcahn School of Medicine at Mount Sinai · USStaten Island University Hospital · USUniversity of Illinois Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute upper gastrointestinal bleeding (AUGIB) is a frequently encountered condition in the Gastroenterology field with a mortality rate of 10-14%. Despite recent newer innovations and advancements in endoscopic techniques and available medications, the mortality rate associated with AUGIB remained persistently elevated.

aimTo explore mortality, characteristics and outcome differences between hospitalized patients who develop AUGIB while in-hospital, and patients who initially present with AUGIB.

methodsThis is a retrospective of patients who presented to Northwell Health Staten Island University Hospital from October 2012 to October 2016 with AUGIB that was confirmed endoscopically. Patients were divided in two groups: Group 1 comprised patients who developed AUGIB during their hospital stay; group 2 consisted of patients who initially presented with AUGIB as their main complaint. Patient characteristics, time to endoscopy, endoscopy findings and interventions, and clinical outcomes were collected and compared between groups.

resultsA total of 336 patients were included. Group 1 consisted of 139 patients and group 2 of 196 patients. Mortality was significantly higher in the 1st group compared to the 2nd (20%

conclusionIn-hospital AUGIB is associated with high mortality and morbidity despite a shorter time to endoscopy. Larger scale studies assessing the role of increased comorbidities and antithrombotic use in this setting are warranted.

Indexed as

HematemesisLength of stayMelenaMortalityNon-variceal bleedingUpper gastrointestinal bleedingVariceal bleeding

Identifiers

PMID31839875
PMCPMC6885731
OpenAlexW2990680223

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.