Decreasing In-Hospital Mortality from Upper Gastrointestinal Hemorrhage

Outcomes have improved during the past few decades, although the economic burden of care has increased.

During the last several decades, major advances have occurred in the endoscopic, pharmacologic, and general care of patients with upper gastrointestinal bleeding (UGIB). Until recently, these advances have not seemed to affect UGIB incidence or mortality.

Investigators analyzed data from the largest administrative database for acute care hospitals in the U.S. and reported the following trends in UGIB mortality and other outcomes between 1989 and 2009.

The in-hospital mortality rate for nonvariceal UGIB decreased from 4.5% to 2.1%.
The mortality rate for variceal bleeding decreased from 10.7% to 5.6%.
During the same period, the inpatient all-cause mortality rate for any admission decreased from 2.9% to 1.9%.
Incidence (per 100,000 persons) of no…

Reviewing Author

David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)

Disclosures

Nothing to disclose

David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)

Disclosures

Nothing to disclose

Decreasing In-Hospital Mortality from Upper Gastrointestinal Hemorrhage

Topics

Reviewing Author