title: Acute upper gastrointestinal bleeding in the UK: patient characteristics, diagnoses and outcomes in the 2007 UK audit.
abstract: OBJECTIVE
  To describe the patient characteristics, diagnoses and clinical outcomes of patients presenting with acute upper gastrointestinal bleeding (AUGIB) in the 2007 UK Audit.
  
  
  METHODS
  Multi-centre survey.
  
  
  METHODS
  All UK hospitals admitting patients with AUGIB.
  
  
  METHODS
  All adults (>16 years) presenting in or to UK hospitals with AUGIB between 1 May and 30 June 2007.
  
  
  RESULTS
  Data on 6750 patients (median age 68 years) was collected from 208 participating hospitals. New admissions (n=5550) were younger (median age 65 years) than inpatients (n=1107, median age 71 years), with less co-morbidity (any co-morbidity 46% vs 71%, respectively). At presentation 9% (599/6750) had known cirrhosis, 26% a history of alcohol excess, 11% were taking non-steroidal anti-inflammatory drugs and 28% aspirin. Peptic ulcer disease accounted for 36% of AUGIB and bleeding varices 11%. In 13% there was evidence of further bleeding after the first endoscopy. 1.9% underwent surgery and 1.2% interventional radiology for AUGIB. Median length of stay was 5 days. Overall mortality in hospital was 10% (675/6750, 95% CI 9.3 to 10.7), 7% in new admissions and 26% among inpatients. Mortality was highest in those with variceal bleeding (15%) and with malignancy (17%).
  
  
  CONCLUSIONS
  AUGIB continues to result in substantial mortality although it appears to be lower than in 1993. Mortality is particularly high among inpatients and those bleeding from varices or upper gastrointestinal malignancy. Surgical or radiological interventions are little used currently.
authors.affiliation: Department of Gastroenterology, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
authors.forename: Sarah A
authors.initials: SA
authors.lastname: Hearnshaw
authors.forename: Richard F A
authors.initials: RF
authors.lastname: Logan
authors.forename: Derek
authors.initials: D
authors.lastname: Lowe
authors.forename: Simon P L
authors.initials: SP
authors.lastname: Travis
authors.forename: Mike F
authors.initials: MF
authors.lastname: Murphy
authors.forename: Kelvin R
authors.initials: KR
authors.lastname: Palmer
mesh_terms: D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D001803:Blood Transfusion / Q000379:methods*; D002423:Cause of Death / Q000639:trends; D003937:Diagnosis, Differential; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D006488:Hemostasis, Surgical / Q000379:methods*; D017052:Hospital Mortality / Q000639:trends; D006801:Humans; D015994:Incidence; D007902:Length of Stay / Q000639:trends; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012008:Recurrence; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods*; D006113:United Kingdom / Q000453:epidemiology