Table 4.
Age | |
Median, yr | 65.3 (20-100) |
Sex | |
Male/Female | 638 (63)/374 (37) |
Findings at endoscopy | |
Gastric ulcers | 496 (49) |
Duodenal ulcers | 476 (47) |
Gastric and duodenal ulcers | 24 (2.4) |
Ulcer on gastro-enteric anastomosis | 16 (1.6) |
High-risk ulcers (Forrest Ia-IIb) | 526 (52) |
Forrest Ia | 61 (6) |
Forrest Ib | 111 (11) |
Forrest IIa | 212 (21) |
Forrest IIb | 142 (14) |
Low- risk ulcers (Forrest IIc-III) | 486 (48) |
Forrest IIc | 172 (17) |
Forrest III | 314 (31) |
Hemodynamic shock | 111 (11) |
Comorbidity | |
Ischemic and valvular heart disease | 213 (21.5) |
Liver disease | 172 (17) |
Renal failure | 111 (11) |
Any malignancy | 131 (12.9) |
Comorbidity (ASA class) | |
ASA I | 142 (14) |
ASA II | 283 (28) |
ASA III-IV | 587 (58) |
H. pylori | |
Tested | 760 (75.1) |
H. pylori-positive | 324 (42.6) |
Drugs | |
Without previous therapy | 433 (42.8) |
NSAIDs | 284 (28.1) |
Acetylsalicylic acid | 203 (20) |
Antiplatelet therapy | 31 (3.1) |
Anticoagulant therapy | 41 (4) |
NOAC | 20 (2) |
Treatment | |
Endoscopic therapy | 587 (58) |
Epinephrine | 213 (36.3) |
Hemoclips | 156 (26.6) |
Hemoclips + epinephrine | 180 (30.7) |
Thermocoagulation | 26 (4.4) |
Thermocoagulation + epinephrine | 12 (2) |
Repeated endoscopic therapy | 71 (7) |
Blood transfusion required | 496 (49) |
Red blood cell | 406 (40.1) |
Median (range), unit | 2.5 (1-16) |
Fresh frozen plasma | 81 (8) |
Median (range), unit | 2 (1-6) |
Platelet | 9 (0.9) |
Median (range), unit | 6 (4-8) |
Whole blood | 0 (0) |
Surgery | 55 (5.4) |
Outcome | |
Rebleeding | 95 (9.4) |
Rebleeding (anticoag. and NOAC) | 9 (14.8) |
30-d mortality | 53 (5.2) |
Median hospital stay, d | 6 (0-45) |
Data are presented as n (%) or mean (range). ASA: American society of anesthesiology; NOAC: New(er) oral anticoagulant; NSAIDs: Non-steroidal anti-inflammatory drugs.