지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 271 - 277 (7page)
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초록· 키워드
오류제보하기
Background/Aims: Rebleeding is associated with mortality in patients with peptic ulcer bleeding (PUB), and risk stratification is important for the management of these patients. The purpose of our study was to examine the risk factors associated with rebleeding in patients with PUB. Methods: The Korean Peptic Ulcer Bleeding registry is a large prospectively collected database of patients with PUB who were hospitalized between 2014 and 2015 at 28 medical centers in Korea. We examined the basic characteristics and clinical outcomes of patients in this registry. Univariate and multivariate analyses were performed to identify the factors associated with rebleeding. Results: In total, 904 patients with PUB were registered, and 897 patients were analyzed. Rebleeding occurred in 7.1% of the patients (64), and the 30-day mortality was 1.0% (nine patients). According to the multivariate analysis, the risk factors for rebleeding were the presence of co-morbidities, use of multiple drugs, albumin levels, and hematemesis/hematochezia as initial presentations. Conclusions: The presence of co-morbidities, use of multiple drugs, albumin levels, and initial presentations with hematemesis/hematochezia can be indicators of rebleeding in patients with PUB. The wide use of proton pump inhibitors and prompt endoscopic interventions may explain the low incidence of rebleeding and low mortality rates in Korea.
목차
등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Barkun AN / 2010 / International consensus recommendations on the management of patients with nonvariceal upper gastrointestinal bleeding / Ann Intern Med 152:101~113
Eisner F / 2017 / Gastric ulcer complications after the introduction of proton pump inhibitors into clinical routine: 20-year experience / Visc Med 33:221~226
van Leerdam ME / 2003 / Acute upper GI bleeding: did anything change? Time trend analysis of incidence and outcome of acute upper GI bleeding between 1993/1994 and 2000 / Am J Gastroenterol 98:1494~1499
Barkun A / 2004 / The Canadian Registry on Nonvariceal Upper Gastrointestinal Bleeding and Endoscopy (RUGBE): endoscopic hemostasis and proton pump inhibition are associated with improved outcomes in a real-life setting / Am J Gastroenterol 99:1238~1246
Silverstein FE / 1981 / The national ASGE survey on upper gastrointestinal bleeding. II. Clinical prognostic factors / Gastrointest Endosc 27:80~93
Eisner F / 2017 / Gastric ulcer complications after the introduction of proton pump inhibitors into clinical routine: 20-year experience / Visc Med 33:221~226
van Leerdam ME / 2003 / Acute upper GI bleeding: did anything change? Time trend analysis of incidence and outcome of acute upper GI bleeding between 1993/1994 and 2000 / Am J Gastroenterol 98:1494~1499
Barkun A / 2004 / The Canadian Registry on Nonvariceal Upper Gastrointestinal Bleeding and Endoscopy (RUGBE): endoscopic hemostasis and proton pump inhibition are associated with improved outcomes in a real-life setting / Am J Gastroenterol 99:1238~1246
Silverstein FE / 1981 / The national ASGE survey on upper gastrointestinal bleeding. II. Clinical prognostic factors / Gastrointest Endosc 27:80~93
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