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| Investigation analysis on correlated risk factors of acute upper gastrointestinal bleeding in the elder population |
| Cai Zhefeng |
| The First General Surgery Department in the People′s Hospital of Cixi City, Cixi 315300, China |
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Abstract Objective To explore etiological and correlated risk factors of acute upper gastrointestinal bleeding in the elder population, then to provide basis for prevention and treatment of upper gastrointestinal bleeding. Methods Data of 190 patients possibly with upper gastrointestinal bleeding were retrospectively analyzed, and according to gastroscopy results, 190 cases were divided into hemorrhage group (n=65) and non-hemorrhage group (n=125). Then single factor and multiple factors analysis methods were used to analyze the risk factors of upper gastrointestinal bleeding. Results The incidence rate of upper gastrointestinal bleeding was 34.2% (65/190) in the elder. Multiple factors analysis results showed that the risk factors included age (OR=1.377), gastric ulcer history (OR=2.609), duodenal ulcer history (OR=3.203), acute gastric mucosa pathological changes (OR=2.560), helicobacter pylori infection (OR=3.511), and taking NSAIDs (OR=4.384) and ASA (OR=5.568) drugs. Conclusion The independent risk factors of acute upper gastrointestinal bleeding in the elderly population contain age, duodenal ulcer disease, helicobacter pylori infection and taking NSAIDs and ASA drugs. We should adopt protective measures for these high risk factors.
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Received: 15 July 2016
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