Abstract:
:This study aimed to identify the incidence of perioperative acute upper gastrointestinal bleeding (UGIB) in our hip fracture patients; to evaluate the characteristics, management and clinical outcomes of these patients; and to explore risk factors and protective factors. Of the 1691 consecutive patients admitted for surgical management of hip fractures, 11 (0.65%) had UGIB and a further four patients for each case were selected as controls for evaluation of risk factors and protective factors. Pre-existing peptic ulcer disease was identified as a risk factor for acute UGIB (odds ratio 7.9; 95% confidence interval: 1.1-54.9). This study reported a very low incidence of UGIB in hip fracture patients. Despite being a high-risk population, timely endoscopic evaluation can be safely undertaken to optimise patient outcome. When risk factors such as history of peptic ulcer disease are present, additional precaution including gastro-protective agent and nutritional support should be undertaken.
journal_name
Intern Med Jjournal_title
Internal medicine journalauthors
Liu J,Gupta R,Hay K,Pulle C,Rahman T,Pandy Sdoi
10.1111/imj.13809subject
Has Abstractpub_date
2018-06-01 00:00:00pages
731-735issue
6eissn
1444-0903issn
1445-5994journal_volume
48pub_type
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