作者
Philip WY Chiu, Enders KW Ng, Frances KY Cheung, Francis KL Chan, WK Leung, Justin CY Wu, Vincent WS Wong, MY Yung, Kelvin Tsoi, James YW Lau, Joseph JY Sung, Sydney SC Chung
发表日期
2009/3/1
期刊
Clinical gastroenterology and hepatology
卷号
7
期号
3
页码范围
311-316
出版商
WB Saunders
简介
BACKGROUND & AIMS
Despite advances in management of patients with bleeding peptic ulcers, mortality is still 10%. This study aimed to identify predictive factors and to develop a prediction model for mortality among patients with bleeding peptic ulcers.
METHODS
Consecutive patients with endoscopic stigmata of active bleeding, visible vessels, or adherent clots were recruited, and risk factors for mortality were identified in this deprivation cohort by using multiple stepwise logistic regression. A prediction model was then built on the basis of these factors and validated in the evaluation cohort.
RESULTS
From 1993 to 2003, 3220 patients with bleeding peptic ulcers were treated. Two hundred eighty-four of the patients developed rebleeding (8.8%); emergency surgery was performed on 47 of these patients, whereas others were managed with endoscopic retreatment. Two hundred twenty-nine of these sustained …
引用总数
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