Abstract | BACKGROUND: AIM: METHODS: We recorded the numbers and details of all patients presenting in our region of Scotland with perforation between 1997 and 2006 including demography, drug usage and 30-day mortality. RESULTS: In subjects aged >65 years, the annual incidence of perforation was 32.7 per 10(5) of the age-specific population, of whom 10.7 per 10(5) were taking low-dose aspirin and 12.0 taking NSAIDs. These were all significantly higher (P < 0.001) than the corresponding incidence in subjects aged < or =65 years (6.6 per 10(5) overall, 1.1 taking aspirin and 2.5 taking NSAIDs). There was an increasing trend with time in the number of patients taking NSAIDs (chi(2) = 4.57, P = 0.03). Using univariate analysis, 30-day mortality was associated with aspirin [odds ratio, 2.32 (95% C.I., 1.20-4.47), P = 0.01] but not with NSAIDs. The strongest predictors of mortality were increasing age and comorbidity. CONCLUSIONS: Perforation remains common in elderly patients including users of NSAIDs and aspirin. Early mortality is also noted in association with increasing age and comorbidity, but not independently with drug intake.
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Authors | A S Taha, W J Angerson, R Prasad, C McCloskey, D Gilmour, C G Morran |
Journal | Alimentary pharmacology & therapeutics
(Aliment Pharmacol Ther)
Vol. 28
Issue 7
Pg. 878-85
(Oct 01 2008)
ISSN: 1365-2036 [Electronic] England |
PMID | 18644010
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Anti-Inflammatory Agents, Non-Steroidal
- Fibrinolytic Agents
- Aspirin
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Topics |
- Adolescent
- Adult
- Age Factors
- Aged
- Anti-Inflammatory Agents, Non-Steroidal
(therapeutic use)
- Aspirin
(therapeutic use)
- Comorbidity
- Drug Administration Schedule
- Female
- Fibrinolytic Agents
(therapeutic use)
- Humans
- Incidence
- Male
- Middle Aged
- Multivariate Analysis
- Odds Ratio
- Peptic Ulcer
(mortality)
- Peptic Ulcer Perforation
(complications, epidemiology, mortality)
- Retrospective Studies
- Risk Factors
- Scotland
(epidemiology)
- Time
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