Evidence map›Paper›PMID 40502928›Full record

ArticleTherapeutic advances in gastroenterology2025

Upper gastrointestinal bleeding differences between older and younger adults: should bleeding in non-cirrhotic patients be considered a geriatric syndrome?

Francisco Vara-Luiz, Ivo Mendes, Carolina Palma, Paulo Mascarenhas, Diogo Simas, Plácido Gomes, André Ruge Gonçalves, Inês Simão, Madalena Teixeira, Sara Ramos Lopes and 7 more

Abstract read
In one paragraph

Article in Therapeutic advances in gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Review
  5. Article
  6. Predictors of In-Hospital Mortality inClinical and experimental gastroenterology · 2026
    Article
  7. Observational
  8. Review
  9. 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

17 authors.

Francisco Vara-LuizGastroenterology Department, Hospital Garcia de Orta, Avenida Torrado da Silva, Almada 2805-267, Portugal.ORCID https://orcid.org/0000-0002-3757-6172
Ivo MendesGastroenterology Department, Hospital Garcia de Orta, Almada, Portugal.
Carolina PalmaGastroenterology Department, Hospital Garcia de Orta, Almada, Portugal.
Paulo MascarenhasAging Lab, Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Almada, Portugal.
Diogo SimasGastroenterology Department, Unidade Local de Saúde da Região de Leiria, Leiria, Portugal.
Plácido GomesGastroenterology Department, Unidade Local de Saúde da Região de Leiria, Leiria, Portugal.
André Ruge GonçalvesGastroenterology Department, Unidade Local de Saúde da Região de Leiria, Leiria, Portugal.
Inês SimãoGastroenterology Department, Unidade Local de Saúde de Lisboa Ocidental, Lisboa, Portugal.
Madalena TeixeiraGastroenterology Department, Unidade Local de Saúde da Arrábida, Setúbal, Portugal.
Sara Ramos LopesGastroenterology Department, Unidade Local de Saúde da Arrábida, Setúbal, Portugal.
Francisca Côrte-RealGastroenterology Department, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, Portugal.
Maria Antónia DuarteGastroenterology Department, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, Portugal.
Catarina BravoGastroenterology Department, Unidade Local de Saúde de Loures-Odivelas, Lisboa, Portugal.
Marta PatitaGastroenterology Department, Hospital Garcia de Orta, Almada, Portugal.
Gonçalo NunesGastroenterology Department, Hospital Garcia de Orta, Almada, Portugal.
Pedro Pinto-MarquesGastroenterology Department, Hospital Garcia de Orta, Almada, Portugal.
Jorge FonsecaGastroenterology Department, Hospital Garcia de Orta, Almada, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Upper gastrointestinal bleeding (UGIB) is a major medical emergency. Although older citizens have an increased risk of UGIB, guidelines do not fully address specific concerns in this population. Objectives: We aimed to report characteristics/differences between the older (⩾65 years) and the younger adult patients (<65 years) with UGIB. Design: Retrospective multicenter cohort study. Methods: Adult patients consecutively admitted due to evidence of UGIB at six participating centers or who developed UGIB while hospitalized for another reason during a 6-month enrollment period, were eligible for this study. Results: Of 600 patients included, 58.2% were men. Patients aged ⩾65 years comprised 72.8% of the cohort; in this group, most comorbidities (except liver cirrhosis) and use of antiplatelet/anticoagulant therapy were more frequent ( Conclusion: Older adults with UGIB exhibit clinical features associated with higher healthcare resource utilization and worse outcomes. Cirrhosis was linked to adverse outcomes in younger patients. In non-cirrhotic patients, UGIB may share features of geriatric syndromes, reflecting multifactorial risks in this population.

Indexed as

aginggeriatric syndromeupper gastrointestinal bleeding

Identifiers

PMID40502928
PMCPMC12152771

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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.