Secondary angiodysplasia-associated gastrointestinal bleeding in end-stage renal disease: Results from the nationwide inpatient sample

作     者：Tooba Tariq Patrick Karabon Furqan B Irfan Sachin Goyal Matthew Masaru Mayeda Austin Parsons Stephanie Judd Murray Ehrinpreis 

作者机构：Department of Internal MedicineWestern Michigan University Homer Stryker M.D.School of MedicineKalamazooMI 49008United States Oakland University William Beaumont School of MedicineOakland UniversityDetroitMI 48309United States College of Osteopathic MedicineMichigan State UniversityEast LansingMI 48824United States 不详 Department of Internal MedicineDivision of GastroenterologyJohn D Dingell VA Medical CenterDetroitMI 48201United States 

出 版 物：《World Journal of Gastrointestinal Endoscopy》 (世界胃肠内镜杂志（英文版）（电子版）)

年 卷 期：2019年第11卷第10期

页      面：504-514页

学科分类：10[医学] 

主　　题：Angiodysplasia Renal Gastrointestinal Hemorrhage 

摘      要：BACKGROUND Chronic kidney disease is associated with angiodysplasia of gastrointestinal tract leading to increased risk of gastrointestinal *** To determine the nationwide prevalence,trends,predictors and resource utilization of angiodysplasia-associated gastrointestinal bleeding in end-stage renal disease *** The Nationwide Inpatient Sample database from 2009 to 2014,was utilized to conduct a retrospective study on patients with angiodysplasia associatedgastrointestinal bleeding and end-stage renal *** with endstage renal disease were included in the Nationwide Inpatient Sample database and a subset of hospitalizations with end-stage renal disease and angiodysplasiaassociated gastrointestinal bleeding were identified with International Classification of Diseases,9th revision,Clinical Modification codes for both endstage renal disease(585.6)and angiodysplasia(569.85,537.83).RESULTS The prevalence of angiodysplasia-associated gastrointestinal bleeding was 0.45%(n=24709)among all end-stage renal disease patients(n=5505252)that were *** analysis indicated that the following were significant factors associated with higher odds of angiodysplasia associated-gastrointestinal bleeding in end-stage renal disease patients:an increasing trend from 2009-2014(P0.01),increasing age(P0.0001);African American race(P=0.0206);increasing Charlson-Deyo Comorbidity Index(P0.01);hypertension(P0.0001);and tobacco use(P0.0001).Diabetes mellitus(P0.0001)was associated with lower odds of angiodysplasia associated-gastrointestinal bleeding in end-stage renal disease *** comparison with urban teaching hospitals,rural and urban nonteaching hospitals were associated with decreased odds of angiodysplasia associated-gastrointestinal *** Angiodysplasia-associated gastrointestinal bleeding in end-stage renal disease patients showed an increasing trend from *** age,African American