title: Do the stigmata of recent haemorrhage have additional prognostic value in patients with bleeding duodenal ulcer?
abstract: To assess the additional prognostic value of endoscopic stigmata of recent haemorrhage (SRH) in addition to clinical data, a pilot study was conducted on 207 duodenal ulcer patients from the OMGE survey. The incidence of SRH was compared in 145 patients who settled and 62 who re-bled. Only active bleeding emerged as significantly commoner in the latter group. Two computer-assisted predictions of further bleeding (before and after addition of the stigmata to a clinical database) were compared with the final outcome. Little improvement, in terms of prognosis for further bleeding, was obtained when SRH data were added. Similar findings were observed in a smaller series from Marburg, FRG.
mesh_terms: D003936:Diagnosis, Computer-Assisted; D004381:Duodenal Ulcer / Q000150:complications*; D006306:Health Surveys; D006801:Humans; D007391:International Cooperation; D010438:Peptic Ulcer Hemorrhage / Q000209:etiology*; D010865:Pilot Projects; D011379:Prognosis; D012307:Risk Factors