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Lack of follow-up of anaemia after discharge from an upper gastrointestinal bleeding centre

Dan Med J. 2013 Mar;60(3):A4583.

Abstract

Introduction: Acute upper gastrointestinal bleeding is common and anaemia at discharge also occurs frequently. Follow-up studies of patients after discharge are limited. Furthermore, guidelines for follow-up and treatment of post-discharge anaemia have not been published.

Material and methods: We performed a local, retrospective evaluation of patients admitted for acute upper gastrointestinal bleeding.

Results: The retrospective evaluation found that more than 80% of the patients admitted for acute upper gastrointestinal bleeding were discharged with apparent anaemia, and oral iron supplementation was recommended for 16% of the discharged anaemic patients. Our study revealed no standardised follow-up protocols for anaemic patients.

Conclusion: The follow-up practice for patients with anaemia was inconsistent. Based on our research, well-designed studies are needed to determine the most effective post-discharge treatment for patients who are still anaemic at discharge after endoscopic treatment of acute non-variceal upper gastrointestinal bleeding.

Funding: not relevant.

Trial registration: not relevant.

MeSH terms

  • Adult
  • Aftercare / standards*
  • Aged
  • Aged, 80 and over
  • Anemia / drug therapy*
  • Anemia / etiology
  • Continuity of Patient Care / standards
  • Dietary Supplements
  • Esophagitis / complications
  • Female
  • Humans
  • Iron / therapeutic use
  • Male
  • Middle Aged
  • Patient Discharge
  • Peptic Ulcer Hemorrhage / complications*
  • Quality of Health Care*
  • Retrospective Studies
  • Time Factors
  • Young Adult

Substances

  • Iron