Excess Long-Term Mortality following Non-Variceal Upper Gastrointestinal Bleeding: A Population-Based Cohort Study
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{"title"=>"Excess Long-Term Mortality following Non-Variceal Upper Gastrointestinal Bleeding: A Population-Based Cohort Study", "type"=>"journal", "authors"=>[{"first_name"=>"Colin John", "last_name"=>"Crooks", "scopus_author_id"=>"25924854400"}, {"first_name"=>"Timothy Richard", "last_name"=>"Card", "scopus_author_id"=>"6602826811"}, {"first_name"=>"Joe", "last_name"=>"West", "scopus_author_id"=>"24476705900"}], "year"=>2013, "source"=>"PLoS Medicine", "identifiers"=>{"issn"=>"15491277", "pui"=>"368833905", "sgr"=>"84876905900", "doi"=>"10.1371/journal.pmed.1001437", "scopus"=>"2-s2.0-84876905900", "isbn"=>"1549-1676", "pmid"=>"23637580"}, "id"=>"2f82acf3-55ad-33df-8693-013ca869020f", "abstract"=>"It is unclear whether an upper gastrointestinal bleed is an isolated gastrointestinal event or an indicator of a deterioration in a patient's overall health status. Therefore, we investigated the excess causes of death in individuals after a non-variceal bleed compared with deaths in a matched sample of the general population.", "link"=>"http://www.mendeley.com/research/excess-longterm-mortality-following-nonvariceal-upper-gastrointestinal-bleeding-populationbased-coho-1", "reader_count"=>23, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>2, "Researcher"=>4, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>4, "Student > Master"=>4, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>2, "Researcher"=>4, "Student > Ph. D. Student"=>5, "Student > Postgraduate"=>4, "Student > Master"=>4, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>5, "Medicine and Dentistry"=>13, "Agricultural and Biological Sciences"=>2, "Philosophy"=>1, "Psychology"=>1, "Social Sciences"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>13}, "Social Sciences"=>{"Social Sciences"=>1}, "Psychology"=>{"Psychology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Unspecified"=>{"Unspecified"=>5}, "Philosophy"=>{"Philosophy"=>1}}, "reader_count_by_country"=>{"Canada"=>2, "United Kingdom"=>1}, "group_count"=>2}

Scopus | Further Information

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  • {"files"=>["https://ndownloader.figshare.com/files/1048875"], "description"=>"<p>Excess death by ICD 10 chapter over 5 y follow-up following a bleed compared to age, sex, year, and practice matched controls. Numbers at risk at beginning of each year of follow-up shown beneath legend. Adjusted for gender and competing risks.</p>", "links"=>[], "tags"=>["epidemiology", "Clinical epidemiology", "Gastroenterology and hepatology", "Stomach and duodenum", "gastritis", "Peptic ulcer disease", "endoscopy", "esophagus", "Gastrointestinal cancers", "cumulative", "incidence", "non-variceal", "bleeding"], "article_id"=>694151, "categories"=>["Medicine"], "users"=>["Colin John Crooks", "Timothy Richard Card", "Joe West"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001437.g009", "stats"=>{"downloads"=>1, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Excess_cumulative_incidence_function_for_each_cause_of_death_following_non_variceal_bleeding_70_8211_79_y_/694151", "title"=>"Excess cumulative incidence function for each cause of death following non-variceal bleeding 70–79 y.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-04-30 01:09:11"}
  • {"files"=>["https://ndownloader.figshare.com/files/1048877"], "description"=>"<p>Excess death by ICD 10 chapter over 5 y follow-up following a bleed compared to age, sex, year, and practice matched controls. Numbers at risk at beginning of each year of follow-up shown beneath legend. Adjusted for gender and competing risks.</p>", "links"=>[], "tags"=>["epidemiology", "Clinical epidemiology", "Gastroenterology and hepatology", "Stomach and duodenum", "gastritis", "Peptic ulcer disease", "endoscopy", "esophagus", "Gastrointestinal cancers", "incidence", "non-variceal", "bleeding"], "article_id"=>694152, "categories"=>["Medicine"], "users"=>["Colin John Crooks", "Timothy Richard Card", "Joe West"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001437.g010", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Cumulative_incidence_function_following_non_variceal_bleeding_for_cause_of_death_8805_80_y_/694152", "title"=>"Cumulative incidence function following non-variceal bleeding for cause of death ≥80 y.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-04-30 01:09:12"}
  • {"files"=>["https://ndownloader.figshare.com/files/1048879"], "description"=>"<p><b>95% CIs obtained by bootstrapping (500 iterations).</b></p>a<p>As in <a href=\"http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.1001437#pmed-1001437-t003\" target=\"_blank\">Table 3</a>.</p>b<p>CIs were too unstable to be interpretable for respiratory causes of death due to small numbers.</p><p>eCIF, excess CIF; the absolute difference in the CIF between patients with non-variceal bleeding and age, sex, year, and general practice matched controls without non-variceal bleeding; GI, gastrointestinal.</p>", "links"=>[], "tags"=>["epidemiology", "Clinical epidemiology", "Gastroenterology and hepatology", "Stomach and duodenum", "gastritis", "Peptic ulcer disease", "endoscopy", "esophagus", "Gastrointestinal cancers", "cumulative", "incidence", "bleed", "adjusted"], "article_id"=>694153, "categories"=>["Medicine"], "users"=>["Colin John Crooks", "Timothy Richard Card", "Joe West"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001437.t004", "stats"=>{"downloads"=>1, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Excess_cumulative_incidence_function_at_5_y_post_bleed_by_age_group_adjusted_for_lifestyle_factors_and_co_morbidity_/694153", "title"=>"Excess cumulative incidence function at 5 y post bleed by age group, adjusted for lifestyle factors and co-morbidity.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-04-30 01:09:13"}
  • {"files"=>["https://ndownloader.figshare.com/files/1048880"], "description"=>"<p>We searched PubMed with no restrictions for “Cause of death”[Mesh] AND (“Peptic Ulcer”[Mesh] OR “Gastrointestinal hemorrhage”[Mesh]) and also examined the references of selected papers from the search results.</p>a<p>Cardiovascular definitions varied from ischaemic heart disease only to including cerebrovascular disease.</p>b<p>Digestive disease definitions varied from peptic ulcer related to non-malignant GI disease.</p><p>GI, gastrointestinal.</p>", "links"=>[], "tags"=>["epidemiology", "Clinical epidemiology", "Gastroenterology and hepatology", "Stomach and duodenum", "gastritis", "Peptic ulcer disease", "endoscopy", "esophagus", "Gastrointestinal cancers", "peptic", "ulcer", "cohorts", "follow-up", "30"], "article_id"=>694154, "categories"=>["Medicine"], "users"=>["Colin John Crooks", "Timothy Richard Card", "Joe West"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001437.t005", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Previous_literature_on_long_term_outcome_following_peptic_ulcer_cohorts_with_follow_up_over_30_d_/694154", "title"=>"Previous literature on long term outcome following peptic ulcer cohorts with follow-up over 30 d.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-04-30 01:09:14"}
  • {"files"=>["https://ndownloader.figshare.com/files/1048881"], "description"=>"<p>Due to anonymisation numbers in cells with five or fewer events are not shown.</p>a<p>Bold headings indicate ICD 10 chapter headings.</p>b<p>Non-bold headings indicate ICD 10 subchapter headings.</p><p>CVA, cerebrovascular accident; GI, gastrointestinal; IHD, ischaemic heart disease; ILD, interstitial lung disease.</p>", "links"=>[], "tags"=>["epidemiology", "Clinical epidemiology", "Gastroenterology and hepatology", "Stomach and duodenum", "gastritis", "Peptic ulcer disease", "endoscopy", "esophagus", "Gastrointestinal cancers", "100", "stratified", "icd10", "headings"], "article_id"=>694155, "categories"=>["Medicine"], "users"=>["Colin John Crooks", "Timothy Richard Card", "Joe West"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001437.t002", "stats"=>{"downloads"=>0, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Mortality_rate_per_100_person_years_stratified_by_cause_of_death_by_ICD10_headings_in_the_5_y_post_bleed_/694155", "title"=>"Mortality rate per 100 person-years, stratified by cause of death by ICD10 headings in the 5 y post bleed.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-04-30 01:09:15"}
  • {"files"=>["https://ndownloader.figshare.com/files/1048882"], "description"=>"<p><b>95% CIs obtained by bootstrapping (500 iterations).</b></p>a<p>CIs were too unstable to be interpretable for respiratory causes of death due to small numbers.</p><p>eCIF, excess CIF; the absolute difference in the CIF between patients with non-variceal bleeding and age, sex, year, and general practice matched controls without non-variceal bleeding; GI, gastrointestinal.</p>", "links"=>[], "tags"=>["epidemiology", "Clinical epidemiology", "Gastroenterology and hepatology", "Stomach and duodenum", "gastritis", "Peptic ulcer disease", "endoscopy", "esophagus", "Gastrointestinal cancers", "cumulative", "incidence", "bleed"], "article_id"=>694156, "categories"=>["Medicine"], "users"=>["Colin John Crooks", "Timothy Richard Card", "Joe West"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001437.t003", "stats"=>{"downloads"=>7, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Excess_cumulative_incidence_function_post_bleed_by_time_post_bleed_/694156", "title"=>"Excess cumulative incidence function post bleed by time post bleed.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-04-30 01:09:16"}
  • {"files"=>["https://ndownloader.figshare.com/files/1048883"], "description"=>"<p>Numbers, deaths, and follow-up time by exposure to upper gastrointestinal bleeding within 5 y of bleeding.</p>", "links"=>[], "tags"=>["epidemiology", "Clinical epidemiology", "Gastroenterology and hepatology", "Stomach and duodenum", "gastritis", "Peptic ulcer disease", "endoscopy", "esophagus", "Gastrointestinal cancers", "follow-up", "gastrointestinal", "bleeding"], "article_id"=>694157, "categories"=>["Medicine"], "users"=>["Colin John Crooks", "Timothy Richard Card", "Joe West"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001437.t001", "stats"=>{"downloads"=>1, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Numbers_deaths_and_follow_up_time_by_exposure_to_upper_gastrointestinal_bleeding_within_5_y_of_bleeding_/694157", "title"=>"Numbers, deaths, and follow-up time by exposure to upper gastrointestinal bleeding within 5 y of bleeding.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-04-30 01:09:17"}
  • {"files"=>["https://ndownloader.figshare.com/files/1048884", "https://ndownloader.figshare.com/files/1048887", "https://ndownloader.figshare.com/files/1048890", "https://ndownloader.figshare.com/files/1048893"], "description"=>"<div><p>Background</p><p>It is unclear whether an upper gastrointestinal bleed is an isolated gastrointestinal event or an indicator of a deterioration in a patient's overall health status. Therefore, we investigated the excess causes of death in individuals after a non-variceal bleed compared with deaths in a matched sample of the general population.</p> <p>Methods and Findings</p><p>Linked longitudinal data from the English Hospital Episodes Statistics (HES) data, General Practice Research Database (GPRD), and Office of National Statistics death register were used to define a cohort of non-variceal bleeds between 1997 and 2010. Controls were matched at the start of the study by age, sex, practice, and year. The excess risk of each cause of death in the 5 years subsequent to a bleed was then calculated whilst adjusting for competing risks using cumulative incidence functions.</p> <p>16,355 patients with a non-variceal upper gastrointestinal bleed were matched to 81,523 controls. The total 5-year risk of death due to gastrointestinal causes (malignant or non-malignant) ranged from 3.6% (≤50 years, 95% CI 3.0%–4.3%) to 15.2% (≥80 years, 14.2%–16.3%), representing an excess over controls of between 3.6% (3.0%–4.2%) and 13.4% (12.4%–14.5%), respectively. In contrast the total 5-year risk of death due to non-gastrointestinal causes ranged from 4.1% (≤50 years, 3.4%–4.8%) to 46.6% (≥80 years, 45.2%–48.1%), representing an excess over controls of between 3.8% (3.1%–4.5%) and 19.0% (17.5%–20.6%), respectively. The main limitation of this study was potential misclassification of the exposure and outcome; however, we sought to minimise this by using information derived across multiple linked datasets.</p> <p>Conclusions</p><p>Deaths from all causes were increased following an upper gastrointestinal bleed compared to matched controls, and over half the excess risk of death was due to seemingly unrelated co-morbidity. A non-variceal bleed may therefore warrant a careful assessment of co-morbid illness seemingly unrelated to the bleed.</p> <p><i>Please see later in the article for the Editors' Summary</i></p> </div>", "links"=>[], "tags"=>["epidemiology", "Clinical epidemiology", "Gastroenterology and hepatology", "Stomach and duodenum", "gastritis", "Peptic ulcer disease", "endoscopy", "esophagus", "Gastrointestinal cancers", "non-variceal", "gastrointestinal", "population-based", "cohort"], "article_id"=>694158, "categories"=>["Medicine"], "users"=>["Colin John Crooks", "Timothy Richard Card", "Joe West"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001437.s001", "https://dx.doi.org/10.1371/journal.pmed.1001437.s002", "https://dx.doi.org/10.1371/journal.pmed.1001437.s003", "https://dx.doi.org/10.1371/journal.pmed.1001437.s004"], "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Excess_Long_Term_Mortality_following_Non_Variceal_Upper_Gastrointestinal_Bleeding_A_Population_Based_Cohort_Study_/694158", "title"=>"Excess Long-Term Mortality following Non-Variceal Upper Gastrointestinal Bleeding: A Population-Based Cohort Study", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2013-04-30 01:09:18"}
  • {"files"=>["https://ndownloader.figshare.com/files/1048861"], "description"=>"<p>Cause of death by ICD 10 chapter over 5 y follow-up following a bleed. Numbers at risk at beginning of each year of follow-up shown beneath legend. Adjusted for gender and competing risks.</p>", "links"=>[], "tags"=>["epidemiology", "Clinical epidemiology", "Gastroenterology and hepatology", "Stomach and duodenum", "gastritis", "Peptic ulcer disease", "endoscopy", "esophagus", "Gastrointestinal cancers", "incidence", "non-variceal", "bleeding"], "article_id"=>694143, "categories"=>["Medicine"], "users"=>["Colin John Crooks", "Timothy Richard Card", "Joe West"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001437.g001", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Cumulative_incidence_function_for_each_cause_of_death_following_non_variceal_bleeding_8804_50_y_/694143", "title"=>"Cumulative incidence function for each cause of death following non-variceal bleeding ≤50 y.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-04-30 01:09:03"}

PMC Usage Stats | Further Information

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Relative Metric

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