title: Management of peptic ulcer bleeding in different case volume workplaces: results of a nationwide inquiry in hungary.
abstract: The aim of this study was to conduct a national survey to evaluate the recent endoscopic treatment and drug therapy of peptic ulcer bleeding (PUB) patients and to compare practices in high and low case volume Hungarian workplaces. A total of 62 gastroenterology units participated in the six-month study. A total of 3033 PUB cases and a mean of 8.15 ± 3.9 PUB cases per month per unit were reported. In the 23 high case volume units (HCV), there was a mean of 12.9 ± 5.4 PUB cases/month, whereas in the 39 low case volume units (LCV), a mean of 5.3 ± 2.9 PUB cases/month were treated during the study period. In HCV units, endoscopic therapies for Forrest Ia, Ib, and IIa ulcers were significantly more often used than in LCV units (86% versus 68%; P = 0.001). Among patients with stigmata of recent haemorrhage (Forrest I, II), bolus + continuous infusion PPI was given significantly more frequently in HCV than in LCV units (49.6% versus 33.2%; P = 0.001). Mortality in HCV units was less than in LCV units (2.7% versus 4.3%; P = 0.023). The penetration of evidence-based recommendations for PUB management is stronger in HCV units resulting lower mortality.
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Petz Aladár County and Teaching Hospital, Győr 9024, Hungary.
authors.forename: István
authors.initials: I
authors.lastname: Rácz
authors.forename: Tibor
authors.initials: T
authors.lastname: Kárász
authors.forename: Krisztina
authors.initials: K
authors.lastname: Lukács
authors.forename: Ferenc
authors.initials: F
authors.lastname: Rácz
authors.forename: János
authors.initials: J
authors.lastname: Kersák
authors.forename: Judit
authors.initials: J
authors.lastname: Wacha
authors.forename: Tibor
authors.initials: T
authors.lastname: Szalóki
authors.forename: Magdolna
authors.initials: M
authors.lastname: Szász
authors.forename: István
authors.initials: I
authors.lastname: Gyenes
authors.forename: István
authors.initials: I
authors.lastname: Altorjay