XXXX in Emergency Departments in France: causes and management.

@entity1 @entity82 @entity101 @entity548 @entity117 @entity1066 @entity3621 @entity360
OBJECTIVES: Little is known about the epidemiology of @entity360 hospitalized in Emergency Departments. Most of the studies concerning digestive @entity548 have been carried out by Gastroenterology Departments. This multicentre study included consecutive @entity1 with @entity360 hospitalized after an initial management at Emergency Departments in France, to describe the initial medical management and to determine the causes of @entity360 . We also studied the relationship between the use of non-steroidal anti-inflammatory drugs or @entity117 and the occurrence of an @entity360 by a case-control comparison. RESULTS: A total of 180 @entity1 (112 @entity1 , 59+/-18 years) were included during 23 days, and 353 controls (222 @entity1 , 57+/-13 years) were selected at the same time. The delay between the first clinical signs of @entity360 and arrival at the Emergency Department was 33+/-42 h, and endoscopy was performed 14+/-16 h after admission to the Emergency Department. Sixty-six percent of @entity1 with @entity82 could benefit from a specific vasoactive treatment. Endoscopy was performed in 160 @entity1 . Bleeding was caused by @entity1066 and @entity3621 in 88 @entity1 (49%) and portal @entity101 in 59 (32%). The relationship between the use of non-steroidal anti-inflammatory drugs or @entity117 and @entity360 was confirmed, odds ratio, (OR) 1.69 [95% confidence interval (CI) 1.15-2.33], but not among cirrhotic @entity1 , odds ratio 1.12 (95% CI 0.65-1.86). CONCLUSION: Hospitalized @entity360 in Emergency Departments in France is more often caused by @entity82 than in other countries. Decreasing the delay between the first signs of @entity548 and arrival at the Emergency Department is the main challenge in the management of @entity360 .
