Trends for Admission and Mortality in Peptic Ulcers at a Tertiary Referral Hospital During the 2017-2021 Period

The incidence of peptic ulcers has decreased during the last decades; the COVID-19 pandemic may have influenced the peptic ulcer hospitalizations. The study aimed to assess the admissions and mortality for complicated and uncomplicated peptic ulcers and the influence of the pandemic period. Material...

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Published in:	Chirurgia (Bucharest, Romania : 1990) Vol. 119; no. 4; p. 404
Main Authors:	Cazacu, Sergiu Marian, Surlin, Valeriu Marian, Rogoveanu, Ion, Goganau, Alexandru, Iovanescu, Vlad Florin, Ghinea, Alexa Lorena, Parscoveanu, Mircea, Moraru, Emil, Vieru, Alexandru-Marian, Cartu, Dan
Format:	Journal Article
Language:	English
Published:	Romania 01-08-2024
Subjects:	Adult Aged Aged, 80 and over COVID-19 - epidemiology COVID-19 - mortality Duodenal Ulcer - complications Duodenal Ulcer - epidemiology Duodenal Ulcer - mortality Female Hospital Mortality - trends Hospitalization - statistics & numerical data Humans Incidence Male Middle Aged Pandemics Peptic Ulcer - complications Peptic Ulcer - epidemiology Peptic Ulcer - mortality Peptic Ulcer Hemorrhage - epidemiology Peptic Ulcer Hemorrhage - mortality Peptic Ulcer Perforation - epidemiology Peptic Ulcer Perforation - mortality Peptic Ulcer Perforation - surgery Retrospective Studies Risk Factors Romania - epidemiology SARS-CoV-2 Stomach Ulcer - epidemiology Stomach Ulcer - mortality Tertiary Care Centers - statistics & numerical data Romania stenosingpepticulcer perforatedpepticulcer pepticulcer penetratingpepticulcer bleedingpepticulcer COVID-19pandemic
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Summary:	The incidence of peptic ulcers has decreased during the last decades; the COVID-19 pandemic may have influenced the peptic ulcer hospitalizations. The study aimed to assess the admissions and mortality for complicated and uncomplicated peptic ulcers and the influence of the pandemic period. Material and We performed an observational study at a tertiary academic center, including all patients admitted for peptic ulcers between 2017-2021. We evaluated the admissions for complicated and uncomplicated ulcers and risk factors for mortality. 1416 peptic ulcers were admitted, with an equal proportion of gastric and duodenal ulcers; most patients were admitted for bleeding (66.7%), and perforation (17.3%). We noted a decreasing trend for peptic bleeding ulcer (PUB) and uncomplicated ulcer admissions during 2020-2021, while for perforation no significant variation was recorded; a decreasing mortality in PUB was noted from 2017 to 2020. Admissions for bleeding peptic ulcer have decreased by 36.6% during the pandemic period; the mortality rate was similar. Admissions for perforated peptic ulcer have decreased by 14.4%, with a higher mortality rate during the pandemic period (16.83 versus 6.73%). Conclusion: A decreasing trend for PUB admissions but not for perforated ulcers was noted. Admissions for PUB have decreased by more than 1/3 during the pandemic period, with a similar mortality rate. Admissions for perforated peptic ulcers have decreased by 1/7, with significantly higher mortality rates during the pandemic period.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3
ISSN:	1221-9118
DOI:	10.21614/chirurgia.2923