Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
Journal website http://www.gastrores.org

Original Article

Volume 10, Number 3, June 2017, pages 159-165


The Trend of Tranexamic Use in Upper Gastrointestinal Bleeding Ulcers

Figure

Figure 1.
Figure 1. Flow chart for patient selection.

Tables

Table 1. Gender and Age Division, Mean Value for Systolic Blood Pressure, Hemoglobin and Pulse Together With Cardinal Symptoms and Abdominal Pain in Total and for Each Group
 
Total (N = 101)TXA (N = 57)No TXA (N = 44)P value
Women, N (%)45 (44.6)24 (42.1)21 (47.7)0.857
Men, N (%)56 (55.4)33 (59.9)23 (52.3)0.866
Mean age, years71 CI (69 - 75)73690.514
Mean systolic blood pressure121 CI (115 - 127)1191230.237
Hemoglobin, mean value98 CI (92 - 103)931020.177
Pulse, mean value87 CI (84 - 92)84900.211
Hematemesis, N (%)50 (49.5)32 (60.4)18 (41.9)0.386
Melena, N (%)75 (74.3)42 (79.2)33 (76.7)1.000
Hematochezia, N (%)11 (12.1)7 (14.3)4 (9.5)0.755
Abdominal pain or discomfort, N (%)40 (43.0)19 (38.0)21 (48.8)0.355

 

Table 2. Medical History in Each Group Including Cardiovascular Disease and Median Value for Number of Used Risk Medication
 
TXANo TXAP value
Cardiovascular disease, N (%)40 (70.2)28 (63.6)0.487
Number of medications comprising a risk for ulcer disease Median value (min. - max.)1 (0 - 4)1 (0 - 3)0.732

 

Table 3. Treatment and EGD Within 24 h for Each Group Separately
 
TXANo TXAP value
x: no statistics because PPI was a constant.
PPI, N (%)57 (100)44 (100)x
Adrenaline, N (%)20 (36.4)8 (18.6)0.053
Other treatments, N (%)16 (28.1)5 (11.9)0.052
H. pylori eradication, N (%)26 (46.4)27 (61.4)0.137
EGD < 24 h47 (82.5)31 (70.5)0.154

 

Table 4. Outcome Factors for Each Group Including MAF, Re-Bleeding, Days at Hospital and Treatment at the Surgery Department and/or ICU
 
> 0 MAFRe-bleeding, N (%)Days at hospital, median value (min. - max.)Treatment at Surgery Department, N (%)Treatment at Surgery Department and ICU, N (%)
TXA43 (84.3)10 (17.5)5 (1 - 15)43 (75.4)14 (24.6)
No TXA20 (64.5)6 (13.6)3 (0 - 39)41 (93.2)3 (6.8)
P-value0.0390.5940.0050.0180.018

 

Table 5. Gender and Median Age for Outcome
 
MAFRe-bleedingTreatment at the Surgery DepartmentTreatment at the Surgery Department and ICU
Men, N (%)37 (66.1)10 (17.9)46 (82.1)10 (17.9)
Women, N (%)26 (57.8)6 (13.3)38 (84.4)7 (15.6)
Age, median value (min. - max.)76 (38 - 94)74 (24 - 90)73 (24 - 94)75 (49 - 90)