Multicenter Validation on Predicting Mortality for Patients With Bleeding Peptic Ulcers

The Chinese University of Hong Kong

Status: Completed

Conditions: Bleeding Peptic Ulcer

Study type: Observational

Funder types: Other

Identifiers

NCT02245802

CRE-2010.207

Details and patient eligibility

About

This study aimed to validate CU prediction model on mortality for patients with high risk bleeding peptic ulcers after therapeutic endoscopy.

Full description

Despite advances in management of patients with bleeding peptic ulcers, mortality is still 10%. We previously reported a prediction score for ulcer bleeding related mortality developed from a local cohort. The risk factors for mortality included patients older than 70, presence of co-morbidity, more than one listed co-morbidity, hematemesis, SBP < 100 mmHg, in-hospital bleeding, rebleeding, and need for surgery.

Study objective This study aimed to validate the prediction of mortality among patients with bleeding peptic ulcers from different Asian countries.

Method Consecutive patients with bleeding peptic ulcers who presented to the study centers in Hong Kong, Japan and Taiwan were recruited after successful primary endoscopic hemostasis. The baseline demographics, ulcer characteristics, the predictive factors, 30 days mortality, rebleeding, hospital stay and need of surgery were recorded. The accuracy of prediction for adverse events including mortality and rebleeding with the prediction risk scoring system would be analysed.

Enrollment: 785 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Patients presented with bleeding peptic ulcers
2. Age > 18 year old
3. Informed consent for the study and OGD

Exclusion criteria

1. Unable or refuse to give consent
2. Onset more than 7 days
3. Pregnancy

Trial design

785 participants in 2 patient groups

Low risk group

Description:

CU Prediction model \< 3

High risk group

Description:

CU Prediction model \>=3