Geriatric Upper Gastrointestinal Bleeding
Conditions
Interventions
Endoscopic Intervention Group:None
Control group:None
Sponsors
Beijing Friendship Hospital Pinggu Campus,Capital Medical University
Eligibility
Sex/Gender
All
Age
65 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Age >=65 years; 2. Confirmed diagnosis of upper gastrointestinal bleeding (UGIB), meeting at least one of the following: - Hematemesis or coffee-ground emesis (blood oxidized by gastric acid); - Melena or hematochezia (after excluding dietary/drug interference, e.g., iron/bismuth supplements); - Gastric tube aspiration of bright red/coffee-ground fluid; - Hemoglobin drop >=20g/L from baseline with exclusion of bleeding from other sites. 3. Completion of non-contrast CT and laboratory tests (lactate, BUN/Cr ratio, etc.) within 24 hours of hospital admission.
Exclusion criteria
Exclusion criteria: 1. Missing/incomplete endoscopic data (e.g., undocumented bleeding source or severity); 2. Non-UGIB sources of bleeding: - Definite lower gastrointestinal bleeding (originating distal to Treitz ligament); - Traumatic bleeding (e.g., post-intubation mucosal injury). 3. End-stage diseases interfering with prognosis assessment: - Advanced malignancy (life expectancy <3 months); - End-stage heart/liver/renal failure (requiring dialysis or ICU support). 4. Imaging confounders: - Recent (within 72 hours) contrast-enhanced CT/CTA (may mask bleeding signs); - Altered gastroduodenal anatomy (e.g., post-subtotal gastrectomy).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Endoscopic Intervention Need; | — |
Secondary
| Measure | Time frame |
|---|---|
| Rebleeding rate;Length of stay (LOS);Blood transfusion volume;ICU occupancy rate;30-day mortality rate; | — |
Countries
China
Contacts
Public ContactXue Guan
Beijing Friendship Hospital Pinggu Campus,Capital Medical University
Outcome results
None listed