Most Read Articles
21 Sep 2020
Chest pain appears to be the principal complaint of patients hospitalized with a first myocardial infarction (MI), particularly among those in the youngest age group, a study has found.
Jairia Dela Cruz, 16 Sep 2020
In patients with heart failure with reduced ejection fraction (HFrEF) receiving angiotensin-converting-enzyme (ACE) inhibitors, high dosing confers benefits for the risk of death or hospitalization that are similar to that obtained with lower dosing, according to a systematic review and meta-analysis.
Pearl Toh, 6 days ago
Early and sustained treatments with simplified regimen are the key to achieving good asthma control, said experts during a presentation at the ERS 2020 Congress.
2 days ago
Percutaneous coronary intervention (PCI), compared with coronary artery bypass grafting (CABG), in the revascularization of left main coronary artery (LMCA) disease may lead to death, myocardial infarction (MI), or stroke in patients with moderate or severe left ventricular (LV) dysfunction, reveals a study.

More comorbidities, longer hospitalization seen in lower GI bleeding patients over 10-year span

08 Dec 2019

Significant changes have been observed in the aetiology, management and clinical outcomes in patients with lower gastrointestinal (GI) bleeding over the past 10 years, according to a recent study.

More comorbidities exist in hospitalized patients, and there is a marked increase in the use of computerized tomographic angiography and capsule endoscopy for diagnostic evaluation. Moreover, there have been longer hospitalization durations and a greater need for blood transfusion, which may reflect the selection of sicker patients for in-patient management in 2015 and 2017.

The investigators compared two groups of consecutive patients hospitalized with lower GI bleeding during two time periods: 2005 to 2007 (n=301) and 2015 to 2017 (n=249).

Patients in the 2015 to 2017 group had a higher mean Charlson comorbidity index (5.0±2.6 vs 6.0±3.0; p=0.028) and had greater use of computerized tomographic angiography (12.9 percent vs 58.1 percent; p<0.001) and small bowel capsule endoscopy (28.8 percent vs 69.0 percent; p=0.031) than those in the 2005 to 2007 group.

The most common aetiology of bleeding was ischaemic colitis (12.0 percent), followed by diverticular bleeding (8.6 percent), from 2005 to 2007. In 2015 to 2017, diverticular bleeding became the most common aetiology (10.4 percent), and the second most common was angiodysplasia (8.4 percent). Small bowel bleeding sources were more often confirmed in the 2015 to 2017 group (p=0.017).

Endoscopic treatment was attempted in more patients in the 2015 to 2017 group than in the 2005 to 2007 group (25.3 percent vs 16.6 percent; p=0.015). In addition, the 2015 to 2017 group recorded higher rebleeding rates, longer hospitalization duration (4.6±4.3 vs 5.5±3.4 d; p=0.019) and a higher proportion of patients needing a transfusion (62.0 percent vs 78.4 percent; p=0.016).

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Most Read Articles
21 Sep 2020
Chest pain appears to be the principal complaint of patients hospitalized with a first myocardial infarction (MI), particularly among those in the youngest age group, a study has found.
Jairia Dela Cruz, 16 Sep 2020
In patients with heart failure with reduced ejection fraction (HFrEF) receiving angiotensin-converting-enzyme (ACE) inhibitors, high dosing confers benefits for the risk of death or hospitalization that are similar to that obtained with lower dosing, according to a systematic review and meta-analysis.
Pearl Toh, 6 days ago
Early and sustained treatments with simplified regimen are the key to achieving good asthma control, said experts during a presentation at the ERS 2020 Congress.
2 days ago
Percutaneous coronary intervention (PCI), compared with coronary artery bypass grafting (CABG), in the revascularization of left main coronary artery (LMCA) disease may lead to death, myocardial infarction (MI), or stroke in patients with moderate or severe left ventricular (LV) dysfunction, reveals a study.