Prognosis of variceal and non‐variceal upper gastrointestinal bleeding in already hospitalised patients: Results from a French prospective cohort

Objectives Patients who develop upper gastrointestinal bleeding (UGIB) while in hospital appear to have a poor prognosis. Our study aims at analysing the difference in outcome between in‐patients (IPs) and out‐patients presenting with variceal and non‐variceal UGIB. Methods We conducted a multicentr...

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Veröffentlicht in:United European Gastroenterology Journal 2021-07, Vol.9 (6), p.707-717
Hauptverfasser: Hajj, Weam, Quentin, Vincent, Boudoux D'Hautefeuille, Gaelle, Vandamme, Helene, Berger, Chantal, Moussaoui, Mohammed Redha, Berete, Aliou, Louvel, Dominique, Bertolino, Jean Guy, Cuillerier, Emmanuel, Thiebault, Quentin, Arondel, Yves, Grimbert, Sylvie, Guillou, Brigitte, Borel, Isabelle, Lahmek, Pierre, Nahon, Stéphane
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Sprache:eng
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Zusammenfassung:Objectives Patients who develop upper gastrointestinal bleeding (UGIB) while in hospital appear to have a poor prognosis. Our study aims at analysing the difference in outcome between in‐patients (IPs) and out‐patients presenting with variceal and non‐variceal UGIB. Methods We conducted a multicentre prospective study by collecting data about variceal and non‐variceal UGIB cases through 46 hospitals in France between November 2017 and October 2018. We then compared baseline demographic features, endoscopic findings and outcome between patients who developed variceal and non‐variceal UGIB on admission (OPs) and those at least 24 h after hospitalisation (IPs). Our primary end‐point was mortality and re‐bleeding rates at 6 weeks of bleeding onset. Results A total of 2498 UGIB cases were identified, of whom 634 (25.4%) occurred in IPs. IPs were older than OPs (72.5 vs. 67.2 years old, p 
ISSN:2050-6406
2050-6414
DOI:10.1002/ueg2.12096