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Ben-Ari, Z., Cardin, F., McCormick, A.P., Wannamethee, G. and Burroughs, A.K. (1999) A predictive model for failure to control bleeding during acute variceal haemorrhage. Journal of Hepatology, 31, 443-450.
http://dx.doi.org/10.1016/S0168-8278(99)80035-X

has been cited by the following article:

  • TITLE: Predictors of early rebleeding and mortality after acute variceal haemorrhage in patients with cirrhosis

    AUTHORS: Iliass Charif, Kaoutar Saada, Ihsane Mellouki, Mounia El Yousfi, Dafr Allah Benajah, Mohamed El Abkari, Adil Ibrahimi, Nourdin Aqodad

    KEYWORDS: Cirrhosis; Portal Hypertension; Gastrointestinal Bleeding; Esophageal Varices

    JOURNAL NAME: Open Journal of Gastroenterology, Vol.3 No.7, November 26, 2013

    ABSTRACT: The upper gastrointestinal bleeding from esophageal or gastric varices is the most dangerous complication of portal hypertension. The purpose of this study was to identify the predictors of early rebleeding and mortality after a bleeding episode. Patients and Methods: It was a retrospective study including 215 patients admitted in our department of hepatology and gastroenterology at the Hassan II University Hospital of Fez, from January 2001 to January 2010. Results: The mean age of our patients was 51 years. Thirty percent of patients had cirrhosis due to virus (B or C). The majority of patients (79%) had only esophageal varices. Fifty patients (23%) had a bleeding recurrence. Twenty-five patients (11.5%) died during the first ten days, of which 52% had presented rebleeding (p = 0.01). In 30% of cases, the rebleeding was secondary to a fall of pressure ulcers. Univariate analysis showed that early mortality of patients was significantly associated with advanced age (p = 0.018), low prothrombin time (PT) (p = 0.022), low serum sodium (p = 0.03), low platelet count (p = 0.05), and elevated transaminases (p = 0.02). Conclusion: The survival of cirrhotic patients after a bleeding episode was influenced by advanced age, a low rate of PT, of serum sodium, and of the platelet count, and elevated transaminases.