淡江大學機構典藏:Item 987654321/105929
English  |  正體中文  |  简体中文  |  全文筆數/總筆數 : 62821/95882 (66%)
造訪人次 : 4011736      線上人數 : 938
RC Version 7.0 © Powered By DSPACE, MIT. Enhanced by NTU Library & TKU Library IR team.
搜尋範圍 查詢小技巧：
  • 您可在西文檢索詞彙前後加上"雙引號"，以獲取較精準的檢索結果
  • 若欲以作者姓名搜尋，建議至進階搜尋限定作者欄位，可獲得較完整資料
    •  進階搜尋


    請使用永久網址來引用或連結此文件: https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/105929


    題名: A Fourfold Increase of Oesophageal Variceal Bleeding in Cirrhotic Patients with a History of Oesophageal Variceal Bleeding
    作者: Hung, T. H.;Tseng, C. W.;Tsai, C. C.;Lay, C. J.;Tsai, C. C.
    關鍵詞: cirrhosis;epidemiology;oesophageal variceal bleeding;portal hypertension
    日期: 2015-11-25
    上傳時間: 2016-04-22 13:11:19 (UTC+8)
    摘要: INTRODUCTION:
    There is no large, recent, population-based data for evaluating the predictors of oesophageal variceal bleeding (OVB) among cirrhotic patients. The aim of this study was to determine the cumulative incidence of OVB among cirrhotic patients and to identify the predictors of OVB occurrence.
    METHODS:
    The patient information of 38,172 cirrhotic patients without OVB history who were discharged between 1 January and 31 December 2007 was obtained from the Taiwan National Health Insurance Database for use in this study. All patients were followed up for three years. Death was considered as the competing risk in the calculations of the cumulative incidences and hazard ratios (HRs) of OVB.
    RESULTS:
    OVB was present in 2,609 patients (OVB group) and absent in 35,563 patients (non-OVB group) at the time of hospitalisation. During the three-year follow-up period, the cumulative incidence of OVB was 44.5% in the OVB group, while it was 11.3% in the non-OVB group (p < 0.001). Modified Cox's regression analysis showed that the HR of OVB history was 4.42 for OVB occurrence (95% confidence interval [CI] 4.13-4.74). Other predictors for OVB occurrence included hepatocellular carcinoma (HR 1.16, 95% CI 1.09-1.24), young age (HR 0.98, 95% CI 0.98-0.98), ascites (HR 1.46, 95% CI 1.37-1.56), alcohol-related disorders (HR 1.20, 95% CI 1.12-1.28), peptic ulcer bleeding (HR 1.26, 95% CI 1.13-1.41) and diabetes mellitus (HR 1.14, 95% CI 1.06-1.23).
    CONCLUSION:
    Cirrhotic patients have a fourfold increased risk of future OVB once they suffered from their first OVB.
    關聯: Singapore Medical Journal 2015, p.1-10
    DOI: 10.11622/smedj.2015177
    顯示於類別:[資訊工程學系暨研究所] 期刊論文

    文件中的檔案:

    檔案 描述 大小格式瀏覽次數
    A Fourfold Increase of Oesophageal Variceal Bleeding in Cirrhotic Patients with a History of Oesophageal Variceal Bleeding.pdf183KbAdobe PDF1檢視/開啟
    index.html0KbHTML339檢視/開啟

    在機構典藏中所有的資料項目都受到原著作權保護.

    TAIR相關文章

    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library & TKU Library IR teams. Copyright ©   - 回饋