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KMID : 0828520110150030170
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Journal of the Korean Geriatrics Society
2011 Volume.15 No. 3 p.170 ~ p.180
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Clinical Characteristics and Outcomes of Geriatric Patients in Upper Gastrointestinal Bleeding
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Lee Ki-Sang
Lee Soong
Baek Seung-Chul
Lee Hyun-Min
Lim Jae-Kyu
Hwang David
Park Seong-Il
Choi Sung-Kyu
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Abstract
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Background: The incidence of upper gastrointestinal bleeding has decreased in the general population, but increased for the geriatric patients worldwide. The aim of this study was to evaluate the clinical characteristics and outcomes of geriatric patients (aged 65 or older) with upper gastrointestinal bleeding and compare with non-geriatric patients (less than 65 years old).
Methods: We conducted a retrospective study of 288 patients with upper gastrointestinal bleeding from January 2007 to August 2010. We compared the clinical characteristics and outcomes of geriatric patients (n=148, 51.4%) with those of non-geriatric patients (n=140, 48.6%).
Results: Cardiovascular disease, hypertension, and cerebrovascular accident were more prevalent in the geriatric group, compared with the non-geriatric group (p＜0.05). The vital signs were more unstable in the geriatric group than the non-geriatric group (p<0.05). The geriatric group had taken more ulcerogenic drugs than the non-geriatric group (p＜0.05). The most common cause of upper gastrointestinal bleeding was peptic ulcer (72.3%) in the geriatric group, but variceal bleeding (41.4%) in the non-geriatric group. The treatment methods, the amount of transfusion, operation rate and mortality were not different between the two groups (p＞0.05). The length of hospital stay and length of ICU stay in the geriatric patients were significantly longer than the non-geriatric group (p＜0.05).
Conclusion: The geriatric patients with upper gastrointestinal bleeding had longer Intensive Care Unit and hospital stay than the non-geriatric patients in our study. The important emerging etiologies such as ulcerogenic drugs and associated chronic illness should be monitored and treated early in these patients."
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KEYWORD
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Upper gastrointestinal bleeding, Geriatrics, Chronic illness, Ulcerogenic drugs
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