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General Factors Influencing Incidence and Mortality

DONALD D. KOZOLL, M.D.; KARL A. MEYER, M.D.

AMA Arch Surg. 1963;86(3):445-454.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Introduction

Because the causes of massive hemorrhage in peptic ulcer are not always known, we analyzed the Cook County Hospital records for the 20 years from 1936 to 1955 for contributory factors. Four previous articles of this series were based on the records of 8,451 patients and discussed the general factors affecting 1,904 cases of acute gastroduodenal perforation¹; the influence of certain symptoms and signs upon prognosis²; laboratory findings³; and the effects of surgery.⁴ As in previous reports, only those cases were accepted which showed roentgenologic, gastroscopic, operative, or necropsy evidence of a lesion. The methods used to analyze this material were the same as those described in detail in previous reports.^1,2

Present Study

This paper is a study of 2,008 patients, from the same hospital population sample, whose presenting problem was a massively bleeding gastroduodenal ulcer. We defined massive bleeding as (1) hematologic evidence . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO

From the Departments of Surgery of the Cook County Hospital, Northwestern University Medical School, and the Cook County Graduate School of Medicine.

Footnotes
Submitted for publication Oct. 2, 1962.

Supported by a grant-in-aid from the Jerome D. Solomon Memorial Research Foundation, Chicago, and the Hektoen Institute for Medical Research of the Cook County Hospital.

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