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Epidemiology and course of acute upper gastro-intestinal haemorrhage in four French geographical areas
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Epidemiology and course of acute upper gastro-intestinal haemorrhage in four French geographical areas
Epidemiology and course of acute upper gastro-intestinal haemorrhage in four French geographical areas
Pierre Czernichow
Pierre Czernichow
PH
Patrick Hochain
Patrick Hochain
JN
Jean-Baptiste Nousbaum
Jean-Baptiste Nousbaum
JR
Jean-Michel Raymond
Jean-Michel Raymond
AR
Alain Rudelli
Alain Rudelli
JD
Jean-Louis Dupas
Jean-Louis Dupas
MA
Michel Amouretti
Michel Amouretti
HG
Hervé Gouérou
Hervé Gouérou
MC
Michel-Hubert Capron
Michel-Hubert Capron
HH
Helène Herman
Helène Herman
RC
Raymond Colin
Raymond Colin
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1 February 2000
journal article
research article
Published by
Ovid Technologies (Wolters Kluwer Health)
in
European Journal of Gastroenterology & Hepatology
Vol. 12
(2)
,
175-181
https://doi.org/10.1097/00042737-200012020-00007
Abstract
To compare incidence rates and epidemiological characteristics of acute upper gastrointestinal haemorrhage (AUGIH) in France with those of other European studies. Population-based multi-centre prospective survey. 29 public hospitals and 96 private specialists in gastroenterology in four administrative areas in France during 1996. A total of 2133 AUGIH patients 18 years and over were included in the six-month study. Incidence and mortality. The overall incidence in France was 143 cases per 100 000 persons per year, classified as out-patients (16%), emergency admissions (59%) and in-patients (25%). The incidence rates increased with age except for in-patients, and were higher in males. Peptic ulcer (36.6%), varices (13.7%) and erosive disease (12.3%) were the most frequent diagnoses. In 677 patients (31.7%), aspirin, antiinflammatory drugs or corticosteroids were taken on the 7 days before bleeding. The overall mortality (out-patients excluded) was 14.3% (10.7% for emergency patients and 23% for in-patients). Mortality was associated with comorbidities (especially malignancies, cirrhosis, asthma or respiratory deficiency), was lower in emergency patients using non-steroid anti-inflammatory drugs, and higher in in-patients using corticosteroids. In France, patients with AUGIH are frequently managed as out-patients. Gastrotoxic drug use is frequently associated with AUGIH and constitutes a strategic opportunity for preventive treatment. Discrepancies between countries are not clearly explained either by demographic factors or by drug use, but this may be related to the emphasis on AUGIH in in-patients.Eur J Gastroenterol Hepatol12:175-181 © 2000 Lippincott Williams & Wilkins European Journal of Gastroenterology & Hepatology 2000, 12:175-181
Keywords
TREATMENT
MORTALITY
SURVEY
FRANCE
GASTROENTEROLOGY
HAEMORRHAGE
DRUG USE
EMERGENCY
CORTICOSTEROIDS
AUGIH
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Open Access
Cited by 137 articles