ACUTE UPPER GASTROINTESTINAL BLEEDING COURSE IN PATIENTS OVER & UNDER THE AGE 60

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

KESHAVARZ A.A.; REZVANFAR H.A.

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: Journal of Kermanshah University of Medical Sciences Year:2007 | Volume:11 | Issue:3 (34) Page(s): 277-285

Download Full-Text

Persian Verion

View:

1,237

Download:

Cites:

Information Journal Paper

Title

ACUTE UPPER GASTROINTESTINAL BLEEDING COURSE IN PATIENTS OVER & UNDER THE AGE 60

Author(s)

KESHAVARZ A.A. | REZVANFAR H.A. | Issue Writer Certificate

Keywords

UPPER GASTROINTESTINAL BLEEDINGQ2

ELDERLYQ2

OMEPRAZOLEQ3

I.C.U.Q2

Abstract

Background & Objectives: UPPER GASTROINTESTINAL BLEEDING is a medical emergency. Patients over 60 years constitute about 30%-40% of UPPER GASTROINTESTINAL BLEEDING. Traditionally, bleeding in ELDERLY, compared to younger patients, has been accompanied by high mortality and need for more surgery. In recent years, new insights to management of gastrointestinal bleeding with use of proton pump inhibitors and I.C.U.ward admission has been emerged. This study was conducted to evaluate the efficacy of these new strategies in the natural course of bleeding in patients over and under the age 60.Materials and Methods: The study was a descriptive and cross-sectional type conducted in 200 patients- 100 consecutive patients aged over 60 and 100 others under 60- admitted with a diagnosis of UPPER GASTROINTESTINAL BLEEDING at Taleghani and Imam hospitals affiliated of Kermanshah University between 1999-2000. Diagnostic endoscopy was performed about 72 hours after admission. Older patients with co-morbid diseases and those having high risk endoscopic stigmata of recent hemorrhage (active bleeding and visible vessel) were admitted in intensive care unit/ICU, proton pump inhibitor (Omeprazole) 40 mg twice daily was given to patients. Information collected I.C.U.ed history of associated diseases, vital signs, laboratory data, endoscopic findings and length of hospitalization days, amount of blood required, number of surgery and mortality rates. Statistical analysis was carried out by SPSS software version 11.5, for qualitative variables x², and for quantitative variables student t-test (P value, equal or less than 0.05) was used and considered as significant.Results: Mean age of patients over 60 was 70.48±0.66 and under 60 was 37/±1.27 (p=0.0008). 73% of patients over 60 and 80% of patients under 60 were male. History of taking NSAIDs was more among patients over 60 years of age (p=0.003), but they showed less dyspepsia (p=0.05). Cardiovascular (p=0.0008) and arthritis (p=0.05) were more among patients under 60 years of age. Endoscopy findings I.C.U.ed more duodenal ulcers in younger patients (p=0.0096)) and gastric ulcers among older ones (p=0.009). Hospitalization in the two groups was not different with regard to mean duration of hospital stay: 3.8±0.19 days in patients over 60 vs 3.77±0.21 in patients under 60 (p=0.19), mean number of blood units transfused: 4.52±0.30 units in patients over 60 vs 4.49±0.36 units in patients under 60 (p=0.64), number of surgery (3 patients in each group) or mortality (2 patients in each group).Conclusion: According to this study, with application of modern therapeutic management in gastrointestinal bleeding in recent decade, the duration of hospital stay, in the old and young patients has became the same. We conclude that use of proton pump inhibitors and I.C.U.admission for ELDERLY patients or those with high risk endoscopic stigmata of recent hemorrhage to be done routinely in medical centers.

Cites

No record.

References

No record.

Cite

APA: Copy

KESHAVARZ, A.A., & REZVANFAR, H.A.. (2007). ACUTE UPPER GASTROINTESTINAL BLEEDING COURSE IN PATIENTS OVER & UNDER THE AGE 60. JOURNAL OF KERMANSHAH UNIVERSITY OF MEDICAL SCIENCES (BEHBOOD), 11(3 (34)), 277-285. SID. https://sid.ir/paper/20893/en

Vancouver: Copy

KESHAVARZ A.A., REZVANFAR H.A.. ACUTE UPPER GASTROINTESTINAL BLEEDING COURSE IN PATIENTS OVER & UNDER THE AGE 60. JOURNAL OF KERMANSHAH UNIVERSITY OF MEDICAL SCIENCES (BEHBOOD)[Internet]. 2007;11(3 (34)):277-285. Available from: https://sid.ir/paper/20893/en

IEEE: Copy

A.A. KESHAVARZ, and H.A. REZVANFAR, “ACUTE UPPER GASTROINTESTINAL BLEEDING COURSE IN PATIENTS OVER & UNDER THE AGE 60,” JOURNAL OF KERMANSHAH UNIVERSITY OF MEDICAL SCIENCES (BEHBOOD), vol. 11, no. 3 (34), pp. 277–285, 2007, [Online]. Available: https://sid.ir/paper/20893/en

Related Journal Papers