Management of Peptic Ulcer Bleeding in Different Case Volume Workplaces: Results of a Nationwide Inquiry in Hungary
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 st...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2012/956434 |
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| author | István Rácz Tibor Kárász Krisztina Lukács Ferenc Rácz János Kersák Judit Wacha Tibor Szalóki Magdolna Szász István Gyenes István Altorjay |
| author_facet | István Rácz Tibor Kárász Krisztina Lukács Ferenc Rácz János Kersák Judit Wacha Tibor Szalóki Magdolna Szász István Gyenes István Altorjay |
| author_sort | István Rácz |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-1d05134428cb433ca589da9684340a7f |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-1d05134428cb433ca589da9684340a7f2025-08-20T03:54:51ZengWileyGastroenterology Research and Practice1687-61211687-630X2012-01-01201210.1155/2012/956434956434Management of Peptic Ulcer Bleeding in Different Case Volume Workplaces: Results of a Nationwide Inquiry in HungaryIstván Rácz0Tibor Kárász1Krisztina Lukács2Ferenc Rácz3János Kersák4Judit Wacha5Tibor Szalóki6Magdolna Szász7István Gyenes8István Altorjay9Division of Gastroenterology, Department of Internal Medicine, Petz Aladár County and Teaching Hospital, Győr 9024, HungaryDivision of Gastroenterology, Department of Internal Medicine, Petz Aladár County and Teaching Hospital, Győr 9024, HungaryDepartment of Gastroenterology, School of Medicine, Debrecen University, Debrecen 4032, HungaryDepartment of Internal Medicine, Jósa András County Hospital, Nyíregyháza 4400, HungaryDepartment of Internal Medicine, Municipal Hospital, Siófok 8600, HungaryDepartment of Surgery, Semmelweis University, Budapest 1083, HungaryDepartment of Internal Medicine, Jávorszky Ödön Municipal Hospital, Vác 2600, HungaryDepartment of Internal Medicine, Jávorszky Ödön Municipal Hospital, Vác 2600, HungaryDepartment of Internal Medicine, Kenézy Gyula County Hospital, Debrecen 4031, HungaryDepartment of Gastroenterology, School of Medicine, Debrecen University, Debrecen 4032, HungaryThe 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.http://dx.doi.org/10.1155/2012/956434 |
| spellingShingle | István Rácz Tibor Kárász Krisztina Lukács Ferenc Rácz János Kersák Judit Wacha Tibor Szalóki Magdolna Szász István Gyenes István Altorjay Management of Peptic Ulcer Bleeding in Different Case Volume Workplaces: Results of a Nationwide Inquiry in Hungary Gastroenterology Research and Practice |
| title | Management of Peptic Ulcer Bleeding in Different Case Volume Workplaces: Results of a Nationwide Inquiry in Hungary |
| title_full | Management of Peptic Ulcer Bleeding in Different Case Volume Workplaces: Results of a Nationwide Inquiry in Hungary |
| title_fullStr | Management of Peptic Ulcer Bleeding in Different Case Volume Workplaces: Results of a Nationwide Inquiry in Hungary |
| title_full_unstemmed | Management of Peptic Ulcer Bleeding in Different Case Volume Workplaces: Results of a Nationwide Inquiry in Hungary |
| title_short | Management of Peptic Ulcer Bleeding in Different Case Volume Workplaces: Results of a Nationwide Inquiry in Hungary |
| title_sort | management of peptic ulcer bleeding in different case volume workplaces results of a nationwide inquiry in hungary |
| url | http://dx.doi.org/10.1155/2012/956434 |
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