Epidemiology of gastrointestinal bleeding in the elderly
The epidemiological pattern of gastrointestinal bleed in western countries has been steadily changing over the last few years given the rising prevalence of an elderly population. In a one year prospective study at a referral hospital in Zurich, Switzerland, hospitalised patients were investigated w...
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| Veröffentlicht in: | Praxis (Bern. 1994) 2006-05, Vol.95 (19), p.757 |
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| creator | Geyer, M Stamenic, I Bühler, H Bertschinger, P |
| description | The epidemiological pattern of gastrointestinal bleed in western countries has been steadily changing over the last few years given the rising prevalence of an elderly population. In a one year prospective study at a referral hospital in Zurich, Switzerland, hospitalised patients were investigated with regards to the epidemiology of gastrointestinal (GI) bleeding. Of 7406 hospitalisations, a total number of 224 GI bleeds were registered (53% women, mean age 71 +/- 16, 63% with relevant co morbidities). Of 197 patients with GI bleeds, 51% had upper and 37% lower gastrointestinal bleedings. 2% had concurrent upper and lower gastrointestinal bleedings and 10% remained unexplained. The following spectrum of lesions identified as bleeding sources was: 24% ulcer bleedings, 16% diverticular bleedings, 10% colitis, 10% esophagitis and 6% Mallory-Weiss lesions. The frequency of bleeds significantly increased with patient's age. In addition, diverticular bleeding in the elderly was highly associated with intake of Aspirin. The prognosis of gastrointestinal bleeding in elderly patients in this study was excellent with a bleeding associated mortality of only 3.1%. |
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In a one year prospective study at a referral hospital in Zurich, Switzerland, hospitalised patients were investigated with regards to the epidemiology of gastrointestinal (GI) bleeding. Of 7406 hospitalisations, a total number of 224 GI bleeds were registered (53% women, mean age 71 +/- 16, 63% with relevant co morbidities). Of 197 patients with GI bleeds, 51% had upper and 37% lower gastrointestinal bleedings. 2% had concurrent upper and lower gastrointestinal bleedings and 10% remained unexplained. The following spectrum of lesions identified as bleeding sources was: 24% ulcer bleedings, 16% diverticular bleedings, 10% colitis, 10% esophagitis and 6% Mallory-Weiss lesions. The frequency of bleeds significantly increased with patient's age. In addition, diverticular bleeding in the elderly was highly associated with intake of Aspirin. The prognosis of gastrointestinal bleeding in elderly patients in this study was excellent with a bleeding associated mortality of only 3.1%.</description><identifier>ISSN: 1661-8157</identifier><identifier>PMID: 16722204</identifier><language>ger</language><publisher>Switzerland</publisher><subject>Age Factors ; Aged ; Aged, 80 and over ; Angiodysplasia - complications ; Angiodysplasia - epidemiology ; Anti-Inflammatory Agents, Non-Steroidal - adverse effects ; Aspirin - adverse effects ; Colitis - complications ; Colitis - epidemiology ; Colorectal Neoplasms - complications ; Colorectal Neoplasms - epidemiology ; Cross-Sectional Studies ; Diverticulum - complications ; Diverticulum - epidemiology ; Duodenal Ulcer - complications ; Duodenal Ulcer - epidemiology ; Esophageal and Gastric Varices - complications ; Esophageal and Gastric Varices - epidemiology ; Female ; Fibrinolytic Agents - adverse effects ; Gastrointestinal Hemorrhage - chemically induced ; Gastrointestinal Hemorrhage - epidemiology ; Gastrointestinal Hemorrhage - etiology ; Gastrointestinal Hemorrhage - mortality ; Hemorrhoids - complications ; Hemorrhoids - epidemiology ; Hospitalization ; Humans ; Male ; Mallory-Weiss Syndrome - complications ; Mallory-Weiss Syndrome - epidemiology ; Middle Aged ; Peptic Ulcer Hemorrhage - epidemiology ; Peptic Ulcer Hemorrhage - etiology ; Platelet Aggregation Inhibitors - adverse effects ; Prospective Studies ; Sex Factors ; Switzerland - epidemiology</subject><ispartof>Praxis (Bern. 1994), 2006-05, Vol.95 (19), p.757</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16722204$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Geyer, M</creatorcontrib><creatorcontrib>Stamenic, I</creatorcontrib><creatorcontrib>Bühler, H</creatorcontrib><creatorcontrib>Bertschinger, P</creatorcontrib><title>Epidemiology of gastrointestinal bleeding in the elderly</title><title>Praxis (Bern. 1994)</title><addtitle>Praxis (Bern 1994)</addtitle><description>The epidemiological pattern of gastrointestinal bleed in western countries has been steadily changing over the last few years given the rising prevalence of an elderly population. In a one year prospective study at a referral hospital in Zurich, Switzerland, hospitalised patients were investigated with regards to the epidemiology of gastrointestinal (GI) bleeding. Of 7406 hospitalisations, a total number of 224 GI bleeds were registered (53% women, mean age 71 +/- 16, 63% with relevant co morbidities). Of 197 patients with GI bleeds, 51% had upper and 37% lower gastrointestinal bleedings. 2% had concurrent upper and lower gastrointestinal bleedings and 10% remained unexplained. The following spectrum of lesions identified as bleeding sources was: 24% ulcer bleedings, 16% diverticular bleedings, 10% colitis, 10% esophagitis and 6% Mallory-Weiss lesions. The frequency of bleeds significantly increased with patient's age. In addition, diverticular bleeding in the elderly was highly associated with intake of Aspirin. The prognosis of gastrointestinal bleeding in elderly patients in this study was excellent with a bleeding associated mortality of only 3.1%.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angiodysplasia - complications</subject><subject>Angiodysplasia - epidemiology</subject><subject>Anti-Inflammatory Agents, Non-Steroidal - adverse effects</subject><subject>Aspirin - adverse effects</subject><subject>Colitis - complications</subject><subject>Colitis - epidemiology</subject><subject>Colorectal Neoplasms - complications</subject><subject>Colorectal Neoplasms - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Diverticulum - complications</subject><subject>Diverticulum - epidemiology</subject><subject>Duodenal Ulcer - complications</subject><subject>Duodenal Ulcer - epidemiology</subject><subject>Esophageal and Gastric Varices - complications</subject><subject>Esophageal and Gastric Varices - epidemiology</subject><subject>Female</subject><subject>Fibrinolytic Agents - adverse effects</subject><subject>Gastrointestinal Hemorrhage - chemically induced</subject><subject>Gastrointestinal Hemorrhage - epidemiology</subject><subject>Gastrointestinal Hemorrhage - etiology</subject><subject>Gastrointestinal Hemorrhage - mortality</subject><subject>Hemorrhoids - complications</subject><subject>Hemorrhoids - epidemiology</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Male</subject><subject>Mallory-Weiss Syndrome - complications</subject><subject>Mallory-Weiss Syndrome - epidemiology</subject><subject>Middle Aged</subject><subject>Peptic Ulcer Hemorrhage - epidemiology</subject><subject>Peptic Ulcer Hemorrhage - etiology</subject><subject>Platelet Aggregation Inhibitors - adverse effects</subject><subject>Prospective Studies</subject><subject>Sex Factors</subject><subject>Switzerland - epidemiology</subject><issn>1661-8157</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1z7tOwzAUgGEPIFoKr4D8ApFsH_vYHlFVLlIllu6VEx8HI-eiOAx5ewZg-rdP-m_YXiLKxkljd-y-1i8hUHtl7thOolVKCb1n7jTnSEOeytRvfEq8D3VdpjyuVNc8hsLbQhTz2PM88vWTOJVIS9ke2G0KpdLjXw_s8nK6HN-a88fr-_H53MxG60aRdV2ICVqlkpNgojSIySsvotXakQUEoRGcwwDgRYooTSeC1b5zoODAnn7Z-bsdKF7nJQ9h2a7_B_ADok0_8g</recordid><startdate>20060510</startdate><enddate>20060510</enddate><creator>Geyer, M</creator><creator>Stamenic, I</creator><creator>Bühler, H</creator><creator>Bertschinger, P</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>20060510</creationdate><title>Epidemiology of gastrointestinal bleeding in the elderly</title><author>Geyer, M ; Stamenic, I ; Bühler, H ; Bertschinger, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p544-2e78cadf3b22f8135d1566f9290d7448e73630463886a3390fd615c0a749c8323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>ger</language><creationdate>2006</creationdate><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angiodysplasia - complications</topic><topic>Angiodysplasia - epidemiology</topic><topic>Anti-Inflammatory Agents, Non-Steroidal - adverse effects</topic><topic>Aspirin - adverse effects</topic><topic>Colitis - complications</topic><topic>Colitis - epidemiology</topic><topic>Colorectal Neoplasms - complications</topic><topic>Colorectal Neoplasms - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Diverticulum - complications</topic><topic>Diverticulum - epidemiology</topic><topic>Duodenal Ulcer - complications</topic><topic>Duodenal Ulcer - epidemiology</topic><topic>Esophageal and Gastric Varices - complications</topic><topic>Esophageal and Gastric Varices - epidemiology</topic><topic>Female</topic><topic>Fibrinolytic Agents - adverse effects</topic><topic>Gastrointestinal Hemorrhage - chemically induced</topic><topic>Gastrointestinal Hemorrhage - epidemiology</topic><topic>Gastrointestinal Hemorrhage - etiology</topic><topic>Gastrointestinal Hemorrhage - mortality</topic><topic>Hemorrhoids - complications</topic><topic>Hemorrhoids - epidemiology</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Male</topic><topic>Mallory-Weiss Syndrome - complications</topic><topic>Mallory-Weiss Syndrome - epidemiology</topic><topic>Middle Aged</topic><topic>Peptic Ulcer Hemorrhage - epidemiology</topic><topic>Peptic Ulcer Hemorrhage - etiology</topic><topic>Platelet Aggregation Inhibitors - adverse effects</topic><topic>Prospective Studies</topic><topic>Sex Factors</topic><topic>Switzerland - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Geyer, M</creatorcontrib><creatorcontrib>Stamenic, I</creatorcontrib><creatorcontrib>Bühler, H</creatorcontrib><creatorcontrib>Bertschinger, P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Praxis (Bern. 1994)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Geyer, M</au><au>Stamenic, I</au><au>Bühler, H</au><au>Bertschinger, P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidemiology of gastrointestinal bleeding in the elderly</atitle><jtitle>Praxis (Bern. 1994)</jtitle><addtitle>Praxis (Bern 1994)</addtitle><date>2006-05-10</date><risdate>2006</risdate><volume>95</volume><issue>19</issue><spage>757</spage><pages>757-</pages><issn>1661-8157</issn><abstract>The epidemiological pattern of gastrointestinal bleed in western countries has been steadily changing over the last few years given the rising prevalence of an elderly population. In a one year prospective study at a referral hospital in Zurich, Switzerland, hospitalised patients were investigated with regards to the epidemiology of gastrointestinal (GI) bleeding. Of 7406 hospitalisations, a total number of 224 GI bleeds were registered (53% women, mean age 71 +/- 16, 63% with relevant co morbidities). Of 197 patients with GI bleeds, 51% had upper and 37% lower gastrointestinal bleedings. 2% had concurrent upper and lower gastrointestinal bleedings and 10% remained unexplained. The following spectrum of lesions identified as bleeding sources was: 24% ulcer bleedings, 16% diverticular bleedings, 10% colitis, 10% esophagitis and 6% Mallory-Weiss lesions. The frequency of bleeds significantly increased with patient's age. In addition, diverticular bleeding in the elderly was highly associated with intake of Aspirin. The prognosis of gastrointestinal bleeding in elderly patients in this study was excellent with a bleeding associated mortality of only 3.1%.</abstract><cop>Switzerland</cop><pmid>16722204</pmid></addata></record> |
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| identifier | ISSN: 1661-8157 |
| ispartof | Praxis (Bern. 1994), 2006-05, Vol.95 (19), p.757 |
| issn | 1661-8157 |
| language | ger |
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| source | MEDLINE; Hogrefe eContent |
| subjects | Age Factors Aged Aged, 80 and over Angiodysplasia - complications Angiodysplasia - epidemiology Anti-Inflammatory Agents, Non-Steroidal - adverse effects Aspirin - adverse effects Colitis - complications Colitis - epidemiology Colorectal Neoplasms - complications Colorectal Neoplasms - epidemiology Cross-Sectional Studies Diverticulum - complications Diverticulum - epidemiology Duodenal Ulcer - complications Duodenal Ulcer - epidemiology Esophageal and Gastric Varices - complications Esophageal and Gastric Varices - epidemiology Female Fibrinolytic Agents - adverse effects Gastrointestinal Hemorrhage - chemically induced Gastrointestinal Hemorrhage - epidemiology Gastrointestinal Hemorrhage - etiology Gastrointestinal Hemorrhage - mortality Hemorrhoids - complications Hemorrhoids - epidemiology Hospitalization Humans Male Mallory-Weiss Syndrome - complications Mallory-Weiss Syndrome - epidemiology Middle Aged Peptic Ulcer Hemorrhage - epidemiology Peptic Ulcer Hemorrhage - etiology Platelet Aggregation Inhibitors - adverse effects Prospective Studies Sex Factors Switzerland - epidemiology |
| title | Epidemiology of gastrointestinal bleeding in the elderly |
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