Melena epidemiology and demographics: Difference between revisions
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===Case-fatality rate/Mortality rate=== | ===Case-fatality rate/Mortality rate=== | ||
*Overall mortality decreased from 17.1 to 8.2 per 100,000/y. | |||
===Age=== | ===Age=== | ||
Revision as of 08:39, 28 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Tayyaba Ali, M.D.[2]
Overview
Epidemiology and Demographics
Incidence
- The annual incidence of hospitalization for acute upper gastrointestinal bleeding (UGIB) in the United States is approximately 65 per 100,000 individuals.[1]
Case-fatality rate/Mortality rate
- Overall mortality decreased from 17.1 to 8.2 per 100,000/y.
Age
- The incidence of upper gastrointestinal bleed increases with age.[2]
Race
- According to one study done in 2196 patients with upper gastrointestinal bleeding. 620 (28%) were black, 625 (29%) white, 881 (40%) Hispanic, and 70 (3%) were members of other ethnicities.
- In all ethnicities, gastrointestinal ulcer disease is the most common cause of bleeding or melena in patients younger than 35 or older than 65 years. Certain differences in terms of etiology of melena were observed among patients aged 35 to 64 years.
- Blacks aged 50 to 64 years frequently experienced gastroduodenal ulcers, whereas Hispanics aged 35 to 49 years typically had esophageal varices. Rebleeding rates were significantly lower in whites (5.8%) than in Hispanics (9.9%) or blacks (8.7%) (P=0.02).[3]
Gender
The incidence of UGIB is higher in men than in women (128 versus 65 per 100,000 in one study).
Reference
- ↑ Wuerth BA, Rockey DC (2018). "Changing Epidemiology of Upper Gastrointestinal Hemorrhage in the Last Decade: A Nationwide Analysis". Dig Dis Sci. 63 (5): 1286–1293. doi:10.1007/s10620-017-4882-6. PMID 29282637.
- ↑ Loperfido S, Baldo V, Piovesana E, Bellina L, Rossi K, Groppo M; et al. (2009). "Changing trends in acute upper-GI bleeding: a population-based study". Gastrointest Endosc. 70 (2): 212–24. doi:10.1016/j.gie.2008.10.051. PMID 19409558.
- ↑ Wollenman CS, Chason R, Reisch JS, Rockey DC (2014). "Impact of ethnicity in upper gastrointestinal hemorrhage". J Clin Gastroenterol. 48 (4): 343–50. doi:10.1097/MCG.0000000000000025. PMC 4157370. PMID 24275716.