Sheet1Page 11. Gut. 1995 Aug37(2):182-6.Morbidity and treatment in elderly patients surviving hospital admission withbleeding peptic ulcer.Hudson N, Faulkner G, Smith SJ, Logan RF, Hawkey CJ.Department of Medicine, University Hospital, Nottingham.Bleeding peptic ulcer in the elderly is associated with use of non-steroidal,anti-inflammatory drugs (NSAIDs) and aspirin, presenting a therapeutic dilemmafor the treatment of survivors. To determine the longterm morbidity of patientssurviving bleeding peptic ulcer and their treatment, with particular reference toNSAID use, this study followed up 487 patients aged over 60 years, who survivedan episode of bleeding peptic ulcer in Nottingham during 1986 to 1991.Information was gathered by evaluation of general practitioner and hospitalrecords, scrutiny of death certificates, and postal questionnaire to survivingpatients. Of 487 patients surviving a bleeding peptic ulcer, 345 were alive atthe follow up, a mean 34.2 months after discharge. Of these 201 (58%) had takenNSAIDs before their ulcer bleed (104 non-aspirin NSAIDs, 77 aspirin, 20 both).
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