Upper @entity360 (UGIB) is one of the most common @entity341 in gastroenterology practice. In recent years, the introduction of urgent upper @entity344 (UGIE) and of the treatment with proton pump inhibitors (PPIs) in high doses has resulted in an improvement of the treatment outcome in @entity1 with UGIB, but without a significant improvement in mortality rates. In our study we compared the epidemiological, clinical, therapeutic, and prognostic aspects in @entity1 with non-variceal UGIB admitted over a period of one year in a tertiary center where urgent UGIE is a routine procedure and in a municipal hospital where UGIE with endoscopic hemostasis is not available. @entity1 admitted to the tertiary medical center had more clinical and endoscopic severity factors compared to those from the municipal hospital: they were older, with more frequent intake of NSAIDs, several comorbidities, some of them severe, and more severe posthemorrhagic @entity417 . The endoscopic examination revealed that active @entity548 and stigmata of recent @entity548 were more frequent in these @entity1 . Urgent UGIE and, where necessary because of lesions, endoscopic hemostasis were performed in most of these @entity1 . @entity1 admitted to the municipal hospital were treated more frequently with high-dose intravenous PPIs. @entity1 undergoing urgent UGIE and endoscopic therapy had a shorter duration of hospitalization. However, there were no differences regarding the need for surgery or mortality rates. The results of our study are consistent with the literature.

XXXX : clinical, therapeutic and evolution aspects. Comparison between a tertiary medical center and a municipal hospital.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity417 :: ('MESH:D000740', 'Disease') :: ['anemia'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhage', 'bleeding'] @entity341 :: ('MESH:D004630', 'Disease') :: ['emergencies'] @entity344 :: ('MESH:D005767', 'Disease') :: ['gastrointestinal endoscopy'] @entity360 :: ('MESH:D006471', 'Disease') :: ['gastrointestinal bleeding']
@entity360 :: (MESH:D006471,Disease) :: ['Non-variceal upper gastrointestinal bleeding']
