Evidence map›Paper›PMID 40401185›Full record

ArticleJGH open : an open access journal of gastroenterology and hepatology2025

Frailty Predicts Mortality and Procedural Performance in Patients With Non-Variceal Upper Gastrointestinal Bleeding.

Ali Jaan, Adeena Maryyum, Hassam Ali, Umer Farooq, Dushyant Singh Dahiya, Qurat Ul Ain Muhammad, Fernando J Castro

Abstract read
In one paragraph

Article in JGH open : an open access journal of gastroenterology and hepatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Comprehensive review on the current management of upper-GI bleed.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Review
  3. Article
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

7 authors.

Ali JaanDivision of Internal Medicine Unity Hospital Rochester New York USA.ORCID https://orcid.org/0000-0003-1155-7931
Adeena MaryyumDivision of Internal Medicine Ayub Medical College Abbottabad Pakistan.
Hassam AliDivision of Gastroenterology East Carolina University Greenville North Carolina USA.ORCID https://orcid.org/0000-0001-5546-9197
Umer FarooqDivision of Gastroenterology Saint Louis University Saint Louis Missouri USA.
Dushyant Singh DahiyaDivision of Gastroenterology University of Kansas School of Medicine Kansas City Kansas USA.ORCID https://orcid.org/0000-0002-8544-9039
Qurat Ul Ain MuhammadDivision of Internal Medicine Rawalpindi Medical University Rawalpindi Pakistan.
Fernando J CastroDivision of Gastroenterology Cleveland Clinic Florida Weston Florida USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Nonvariceal upper gastrointestinal bleeding (NVUGIB) is a common cause of hospitalization in the United States, with approximately 400 000 admissions annually and a 5%-10% mortality rate. This study aimed to evaluate frailty's impact on NVUGIB outcomes. Methods: We utilized the 2019 National Readmission Database (NRD) to identify adult patients (≥ 18 years) admitted with a principal diagnosis of NVUGIB using ICD-10-CM codes. NVUGIB hospitalizations were stratified by frailty using the hospital frailty risk score (HFRS) of 5 or more as the cut-off for frailty. Multivariate regression analyses were conducted to analyze the outcomes. STATA 14.2 was used for statistical testing. Results: Among 218 647 NVUGIB admissions, 99 892 (45.69%) were frail. Frail patients were older, more often female, and had higher comorbidity burdens. They showed significantly greater in-hospital mortality (adjusted odds ratio [aOR] 5.64, 95% CI 4.94-6.44; Conclusion: Frailty independently predicts worse clinical outcomes and increased resource use in NVUGIB. Recognizing frailty may improve risk stratification and guide more tailored management strategies for this high-risk population.

Indexed as

endoscopyfrailtygastrointestinal hemorrhagehospitalizationnonvariceal upper gastrointestinal bleedingrisk assessment

Identifiers

PMID40401185
PMCPMC12093336

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Registered trials

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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.