Evaluation of Risk Factors and Clinical Characteristics of Elderly Patients with Acute Upper Gastrointestinal Hemorrhage

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dc.authoridakdur, gökhan/0000-0001-8034-0301
dc.authoridkavalcı, cemil/0000-0003-2529-2946
dc.authorwosidakdur, gökhan/AAZ-6502-2021
dc.authorwosidOguz, Serhat/HKE-2793-2023
dc.authorwosidkavalcı, cemil/AGG-1308-2022
dc.contributor.authorSayhan, Mustafa Burak
dc.contributor.authorOguz, Serhat
dc.contributor.authorUmit, Hasan
dc.contributor.authorSayhan, Esin Secgin
dc.contributor.authorEralp, Mustafa Onur
dc.contributor.authorAkdur, Gokhan
dc.contributor.authorKavalci, Cemil
dc.date.accessioned2024-06-12T11:00:10Z
dc.date.available2024-06-12T11:00:10Z
dc.date.issued2012
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjectives Acute upper gastrointestinal hemorrhage (AUGIH) is a life-threatening emergency problem in the elderly population. In this study, we aimed to determine the sociodemographic characteristics, clinical features and the risk factors of the elderly patients presenting to the Emergency Department (ED) with AUGIH. Methods A cross-sectional study was conducted in a university-based hospital. One hundred and ninety-four patients were divided into two groups: Group A (n=128); elderly group (65-79 years) and Group B (n=66); very elderly group (>79 years). Results The mean age was 76.34 +/- 7.91 years. The most frequently presenting symptom was melena (87.1%). Fourteen patients (7.2%) were in shock at the time of bleeding. One hundred and thirty-three patients (68.5%) had a history of rebleeding. Underlying comorbidities were detected in 171 patients (88.1%). There was a significant difference in terms of alcohol abuse and coronary artery disease between the two groups (p=0.038 and p=0.049 respectively). The most frequent endoscopic lesions were peptic ulcer and gastroduodenal erosions in both groups. Conservative medical treatments were applied in most of the patients in both groups, but there were no statistically significant differences in terms of response to conservative medical treatment between the two groups (p=0.892). The overall mortality rate was 11.7% in group A and 19.7% in group B. There were no statistically significant differences in mortality between the two groups (p=0.134). Conclusions Evaluation of risk factors and clinical characteristics of elderly patients with upper gastrointestinal hemorrhage is extremely important. Comorbid diseases and multiple drug use are commonly observed in the elderly patients.en_US
dc.identifier.doi10.5505/1304.7361.2012.71354
dc.identifier.endpage162en_US
dc.identifier.issn2452-2473
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-84872250613en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage157en_US
dc.identifier.trdizinid144684en_US
dc.identifier.urihttps://doi.org/10.5505/1304.7361.2012.71354
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/144684
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20720
dc.identifier.volume12en_US
dc.identifier.wosWOS:000421050600005en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherElsevier Science Bven_US
dc.relation.ispartofTurkish Journal Of Emergency Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectElderly Patientsen_US
dc.subjectEmergency Departmenten_US
dc.subjectGastrointestinal Hemorrhageen_US
dc.titleEvaluation of Risk Factors and Clinical Characteristics of Elderly Patients with Acute Upper Gastrointestinal Hemorrhageen_US
dc.typeArticleen_US

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