Upper digestive hemorrhage : clinical, endoscopic and evolutionary particularities between patients with community and intra-hospital hemorrhage, prospective study.

This article compares the clinical, endoscopic, and evolutionary features of patients with upper gastrointestinal hemorrhage (UGI) who are newly admitted to the emergency department (group A) versus those who are already hospitalized (group B). The study included 332 patients and found that 81% of cases presented with community hemorrhage, while 19% had in-hospital hemorrhage. The study found that there were no statistically significant differences in age, sex, or origin of bleeding between the two groups. However, there were significant differences in the presence of comorbidities, use of antithrombotic drugs, presence of active bleeding, use of endoscopic hemostatic procedures, and need for transfusion. The study also found higher transfusion requirements, active bleeding rates, use of endoscopic hemostasis, and mortality for in-hospital bleeding. [Extracted from the article]