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001-es BibID:BIBFORM037073
Első szerző:Rácz István (orvos Győr)
Cím:Management of Peptic Ulcer Bleeding in Different Case Volume Workplaces: Results of a Nationwide Inquiry in Hungary / Rácz István, Kárász Tibor, Lukács Krisztina, Rácz Ferenc, Kersák János, Wacha Judit, Szalóki Tibor, Szász Magdolna, Gyenes István, Altorjay István
Dátum:2012
ISSN:1687-6121
Megjegyzések:The aim of this study was to conduct a national survey to evaluate the recent endoscopic treatment and drug therapy of pepticulcer bleeding (PUB) patients and to compare practices in high and low case volume Hungarian workplaces. A total of 62gastroenterology units participated in the six-month study. A total of 3033 PUB cases and a mean of 8.15 ? 3.9 PUB cases permonth per unit were reported. In the 23 high case volume units (HCV), there was a mean of 12.9?5.4 PUB cases/month, whereasin the 39 low case volume units (LCV), a mean of 5.3 ? 2.9 PUB cases/month were treated during the study period. In HCVunits, endoscopic therapies for Forrest Ia, Ib, and IIa ulcers were significantly more often used than in LCV units (86% versus68%; P = 0.001). Among patients with stigmata of recent haemorrhage (Forrest I, II), bolus + continuous infusion PPI was givensignificantly more frequently in HCV than in LCV units (49.6% versus 33.2%; P = 0.001).Mortality in HCV units was less than inLCV units (2.7% versus 4.3%; P = 0.023). The penetration of evidence-based recommendations for PUB management is strongerin HCV units resulting lower mortality.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
peptic ulcer bleeding
PUB
high case volume units
LCV units
Megjelenés:Gastroenterology Research and Practice 2012 (2012), p. Article ID 956434. -
További szerzők:Kárász Tibor Lukács Krisztina Rácz Ferenc Kersák János Wacha Judit Szalóki Tibor Szász Magdolna Gyenes István Altorjay István (1954-) (belgyógyász, gasztroenterológus, onkológus)
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