ROYAL NORTH SHORE HOSPITAL OF SYDNEY, 1947‐1977

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Abstract
A series of patients with upper gastrointestinal haemorrhage treated at the Royal North Shore Hospital from 1976 to 1977 was compared to a similar series treated from 1947 to 1949. Although over‐all mortality rates were similar, a clear improvement emerged when variceal, carcinoma and stress ulcer patients were excluded, and when the effect of age was taken into account (the mortality rate in the non‐variceal, non‐cancer, non‐stress patients being 2% over‐all, and 1.5% in those under 60 years of age). A review of the English literature on upper gastrointestinal haemorrhage from 1930 to 1977 showed no improvement in over‐all mortality over this period. When these same factors were taken into account, however, the survival in the non‐stress, chronic peptic ulcer group aged over 60 years was found to have significantly improved over this time.