Prevalence
Causes
Clinical
features
Investigations
Therapy
Prevention
Prognosis
|  |  | | Prevalence |
Upper gastrointestinal bleeding is relatively common in
-
patients on NSAIDs
a
-
patients on intensive care units
b
-
elderly patients
b
Note:
-
Around one in a thousand patients recently started on NSAIDs have a GI haemorrhage or perforation
(0.11%: 95% CI:
0.094% to 0.13%)
a
-
One in twelve patients on intensive care units for longer than 2 days have an upper GI bleed
(8.7%: 95% CI:
6.8% to 11%)
b
Old age increases the risk for a bleeding peptic ulcer
| Patient |
Prognostic Factor |
Outcome |
CER |
OR (95% CI) |
NNF+
(95% CI) |
well
b
|
aged >75
independent
|
bleeding peptic ulcer
at
19
months
|
0.13%
|
5.1 (3.3 to
7.8) |
190
(110 to
330)
|
-
A suspected upper GI bleed is proved correct in a third of in-patients
(39%: 95% CI:
27% to 51%)
c
|