1. Acute gastrointestinal bleeding cases presenting to the emergency department are associated with age, sex and seasonal and circadian factors
- Author
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Bastian Schönemeier, Michael P. Manns, Eliane Musmann, Henrike Lenzen, Martina Kottas, Thomas Köhnlein, and Tim O. Lankisch
- Subjects
Male ,Pediatrics ,Time Factors ,Endoscopy, Gastrointestinal ,Tertiary Care Centers ,0302 clinical medicine ,Risk Factors ,Germany ,030212 general & internal medicine ,Aged, 80 and over ,Univariate analysis ,Incidence ,Incidence (epidemiology) ,Hemostasis, Endoscopic ,Age Factors ,Gastroenterology ,Middle Aged ,Circadian Rhythm ,Predictive value of tests ,Acute Disease ,Female ,030211 gastroenterology & hepatology ,Seasons ,Emergency Service, Hospital ,Gastrointestinal Hemorrhage ,Adult ,medicine.medical_specialty ,Gastrointestinal bleeding ,Evening ,Adolescent ,Young Adult ,03 medical and health sciences ,Sex Factors ,After-Hours Care ,Predictive Value of Tests ,medicine ,Humans ,Weather ,Aged ,Retrospective Studies ,Chi-Square Distribution ,Hepatology ,business.industry ,Retrospective cohort study ,Emergency department ,medicine.disease ,Confidence interval ,Logistic Models ,Multivariate Analysis ,business - Abstract
BACKGROUND Gastrointestinal bleeding (GIB) is one of the most common emergencies in gastroenterology. The aim of this study was to investigate the association between the incidence of GIB and seasonal, circadian and meteorological patterns in the emergency department (ED) of a tertiary hospital. PATIENTS AND METHODS From January 2007 until December 2012, we retrospectively evaluated patients presenting to the ED with respect to the number and location of GIB, season, time of day and weather. RESULTS Of 45 458 patients, 578 (1.3%) presented with a GIB. Of these, 62.5% were men compared with 54.7% of all patients in the ED (χ, P=0.0002). Patients with GIB were on average 4.4 years older than those without GIB (95% confidence interval 2.76-5.98, t-test, P
- Published
- 2017
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