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Consensus on Control of Risky Nonvariceal Upper Gastrointestinal Bleeding in Taiwan with National Health Insurance
Joint Authors
Sheu, Bor-Shyang
Lin, Chun-Che
Chiu, Cheng-Tang
Wu, Ming-Shiang
Cheng, Hsiu-Chi
Wu, Chun-Ying
Wang, Hsiu-Po
Lin, Jaw-Town
Lee, Teng-Yu
Hsu, Ping-I
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-08-13
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background and Aims.
To compose upper gastrointestinal bleeding (UGIB) consensus from a nationwide scale to improve the control of UGIB, especially for the high-risk comorbidity group.
Methods.
The steering committee defined the consensus scope to cover preendoscopy, endoscopy, postendoscopy, and overview from Taiwan National Health Insurance Research Database (NHIRD) assessments for UGIB.
The expert group comprised thirty-two Taiwan experts of UGIB to conduct the consensus conference by a modified Delphi process through two separate iterations to modify the draft statements and to vote anonymously to reach consensus with an agreement ≥80% for each statement and to set the recommendation grade.
Results.
The consensus included 17 statements to highlight that patients with comorbidities, including liver cirrhosis, end-stage renal disease, probable chronic obstructive pulmonary disease, and diabetes, are at high risk of peptic ulcer bleeding and rebleeding.
Special considerations are recommended for such risky patients, including raising hematocrit to 30% in uremia or acute myocardial infarction, aggressive acid secretory control in high Rockall scores, monitoring delayed rebleeding in uremia or cirrhosis, considering cycloxygenase-2 inhibitors plus PPI for pain control, and early resumption of antiplatelets plus PPI in coronary artery disease or stroke.
Conclusions.
The consensus comprises recommendations to improve care of UGIB, especially for high-risk comorbidities.
American Psychological Association (APA)
Sheu, Bor-Shyang& Wu, Chun-Ying& Wu, Ming-Shiang& Chiu, Cheng-Tang& Lin, Chun-Che& Hsu, Ping-I…[et al.]. 2014. Consensus on Control of Risky Nonvariceal Upper Gastrointestinal Bleeding in Taiwan with National Health Insurance. BioMed Research International،Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-481068
Modern Language Association (MLA)
Sheu, Bor-Shyang…[et al.]. Consensus on Control of Risky Nonvariceal Upper Gastrointestinal Bleeding in Taiwan with National Health Insurance. BioMed Research International No. 2014 (2014), pp.1-8.
https://search.emarefa.net/detail/BIM-481068
American Medical Association (AMA)
Sheu, Bor-Shyang& Wu, Chun-Ying& Wu, Ming-Shiang& Chiu, Cheng-Tang& Lin, Chun-Che& Hsu, Ping-I…[et al.]. Consensus on Control of Risky Nonvariceal Upper Gastrointestinal Bleeding in Taiwan with National Health Insurance. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-481068
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-481068