• Tidak ada hasil yang ditemukan

Mortality Risk Factors in Acute Upper Gastrointestinal Bleeding

N/A
N/A
Nguyễn Gia Hào

Academic year: 2023

Membagikan "Mortality Risk Factors in Acute Upper Gastrointestinal Bleeding"

Copied!
6
0
0

Teks penuh

(1)

!"#$%&'()*'+$%,&-'(*'./-0#'12(1 )3

!"#$%&'$()*'+,)-%.$"#+)'/)0.1$2)3442#) 5%+$#"'/$2+$'/%&)6&227'/8

!"#$%&'()*(+&',('-.)/#&)0"%#&"1))23"4--.)!5#6"'&)/+651"%--

!"#$%$&"'()*+,"-(.)&+/(0+1"#$%$&""

!!"-23242$0"$5"6)4+&$(0+(&$*$%71"-(.)&+/(0+"$5"80+(&0)*"9(:2;20(1"<);=*+7"$5"9(:2;20("

>023(&42+7"$5"80:$0(42)?-&@"A2.+$"9)0%=0B=4=/$"6(0(&)*"C)+2$0)*"'$4.2+)*1"D)B)&+)"

069:*0;:

!"#$%&'()*+,!""#$%&'()$*+,)#()+,'-%.-##/+,&%0!1234%+(%*,#%*5%)6#%#7#$&#,89%8'(#(%+,%&'()$*#,)#$*-*&9:%%

;6#%7*$)'-+)9%$')#%/*#(%,*)%86',&#%+,%)6#%-'()%<%/#8'/#(=%6*>#?#$=%)6#$#%+(%,*%"$#8+(#%/')'%+,%@+")*%A',&B,CB(B7*%

+RVSLWDO ,GHQWL¿HG ULVN IDFWRUV DUH H[SHFWHG WR LQFUHDVH HDUO\ DZDUHQHVV DQG RSWLPDO SODQQLQJ LQ PDQDJHPHQW RI

"')+#,)(:%;6+(%()B/9%>'(%'+7#/%)*%C,*>%)6#%7*$)'-+)9%$+(C%5'8)*$(%+,%'8B)#%!123%+,%@+")*%A',&B,CB(B7*%D*("+)'-:

-./0'*+,@'(#%8*,)$*-%()B/9%>'(%"#$5*$7#/%.#)>##,%EB&B()%',/%F#8#7.#$%GHII%.9%8*--#8)+,&%',/%()B/9+,&%

7#/+8'-%$#8*$/(%*5%'8B)#%!123%"')+#,)(%>6*%>#$#%'/7+))#/%',/%6*("+)'-+J#/%.#)>##,%K',B'$9%GHHL%',/%KB,#%GHII%

+,%@+")*%A',&B,CB(B7*%D*("+)'-:%@'(#(%>#$#%'8B)#%!123%"')+#,)(%>6*%"'((#/%'>'9%/B$+,&%6*("+)'-+J')+*,%+,%

)6')%"#$+*/%*5%)+7#:%@*,)$*-(%>#$#%"')+#,)(%>6*%/+/%,*)%"'((%'>'9%',/%6*("+)'-+J#%+,%('7#%"#$+*/%0/')#M7*,)6M

\HDU LQGH[ 6DPSOHV ZHUH WDNHQ UDQGRPO\ ZLWK WKH SURSRUWLRQ RI FDVH DQG FRQWURO %LYDULDWH DQDO\VLV ZDV

"#$5*7#/%.9%86+N(OB'$#%)#()%',/%8*,)+,B#/%>+)6%7B-)+?'$+')#%','-9(+(:

1.2(3/2+,6WXG\ VXEMHFWV FRQVLVWHG RI FDVHV DQG FRQWUROV 6LJQL¿FDQW YDULDEOHV DV ULVN IDFWRUV ZHUH PXOWLSOH FRPRUELGLWLHV 25 &, UHFXUUHQW EOHHGLQJ 25 &,

GHFUHDVHG FRQVFLRXVQHVV 25 &, HQGRVFRS\ QRW SHUIRUPHG 25 &, DQG VHSVLV 25 &,

4')#3(25')+%AB-)+"-#%8*N7*$.+/+)+#(=%(#"(+(=%/#8$#'(#/%8*,(8+*B(,#((%*,%6*("+)'-%'/7+((+*,=%',/%$#8B$$#,)%

.-##/+,&%'$#%7*$)'-+)9%$+(C%5'8)*$(%+,%'8B)#%!123:%A*$)'-+)9%$+(C%+,8$#'(#(%+,%"')+#,)(=%)*%>6*7%#,/*(8*"9%>'(%

,*)%"#$5*$7#/:%

6.78'&*2+,!12%.-##/+,&=%$+(C%5'8)*$(=%7*$)'-+)9

069:*0<

9"/"&,:.3"$")%+,3HUGDUDKDQ VDOXUDQ FHUQD EDJLDQ DWDV 6&%$ PHUXSDNDQ VDODK VDWX NHJDZDWDQ GL ELGDQJ JDVWURHQWHURORJL 0RUWDOLWDVQ\D WLGDN EHUXEDK GDODP GHNDGH WHUDNKLU 1DPXQ KLQJJD VDDW LQL GL 5XPDK 6DNLW

&LSWR 0DQJXQNXVXPR 56&0 EHOXP WHUGDSDW GDWD \DQJ SDVWL )DNWRU ULVLNR \DQJ WHULGHQWL¿NDVL GLKDUDSNDQ /'"')% 7#,+,&C')C',% C#>'("'/'',% /+,+% /',% "#$#,8','',% *")+7'-% /'-'7% )')'-'C(','% "'(+#,:% P#,#-+)+',% +,+%

EHUWXMXDQ XQWXN PHQJHWDKXL IDNWRU ULVLNR NHPDWLDQ SHUGDUDKDQ DNXW 6&%$ GL 56&0

-./'*.+,P#,#-+)+',%C'(B(%C*,)$*-%/+-'CBC',%"'/'%.B-',%E&B()B(NF#(#7.#$%GHII%/#,&',%7#,&B7"B-C',%/',%

PHPSHODMDUL FDWDWDQ PHGLN%"'(+#,\DQJ PHQJDODPL SHUGDUDKDQ DNXW 6&%$ \DQJ PDVXN GDQ GLUDZDW SDGD SHULRGH K',B'$+%GHHLNKB,+%GHII%GL 56&0 .DVXV DGDODK SDVLHQ GHQJDQ SHUGDUDKDQ DNXW 6&%$ \DQJ PHQLQJJDO VDDW /+$'>'):%Q*,)$*-%'/'-'6%"'(+#,%9',&%)+/'C%7#,+,&&'-%/',%/+$'>')%.#$('7'',%/#,&',%C'(B(%0+,/#C(%)',&&'-M EXODQ WDKXQ VDPSHO GLDPELO VHFDUD DFDN GHQJDQ SHUEDQGLQJDQ NDVXV GDQ NRQWURO VHEHVDU $QDOLVLV GLODNXNDQ VHFDUD ELYDULDW GHQJDQ XML%NDL NXDGUDW GDQ GLODQMXWNDQ GHQJDQ XML PXOWLYDULDW

;"253+,6XE\HN SHQHOLWLDQ WHUGLUL GDUL NDVXV GDQ NRQWURO 9DULDEHO \DQJ EHUPDNQD VHEDJDL IDNWRU ULVLNR DGDODK NRPRUELG PXOWLSHO 25 ,. SHUGDUDKDQ EHUXODQJ 25 ,.

SHQXUXQDQ NHVDGDUDQ 25 ,. WLGDN GLODNXNDQ HQGRVNRSL 25

,. GDQ VHSVLV 25 ,. ±

(2)

45&'678"7&90:7';"$-7:#'"<'=:9>-"&7>&-"#"?@*'A&/:>"#"?@':78'B0?&9>0C&'D78"9E"/@

)F

<5=>(3")+%Q*7*$.+/%7B-)+"#-=%(#"(+(=%"#,B$B,',%C#('/'$',%('')%7'(BC%C#%$B7'6%('C+)=%/',%"#$/'$'6',%

XODQJ PHUXSDNDQ IDNWRU ULVLNR NHPDWLDQ SDGD SHUGDUDKDQ DNXW 6&%$ 5LVLNR NHPDWLDQ PHQLQJNDW SDGD SDVLHQ 9',&%)+/'C%/+-'CBC',%#,/*(C*"+:%

6"/",$()#5+,SHUGDUDKDQ 6&%$ IDNWRU ULVLNR NHPDWLDQ

=>:*?@3;:=?>

!""#$%&'()$*+,)#()+,'-%.-##/+,&%0!1234%+(%*,#%

*5%6'(#(7%89+69%,##/(%)*%.#%)':#,%+,)*%6*,6#$,%+,%

&'()$*#,)#$*-*&;<%2,%=>#$+6'7%)9+(%+,6+/#,)%*66?$(%

+,% @ABC@A% "#$% CAA7AAA% "#*"-#D;#'$<CBE%F*$)'-+);%

$')#% /?#% )*% !123% G'$+#(% .#)8##,% HBCHI% +,% -+,#%

8+)9%"')+#,)J(%6*,/+)+*,%',/%&+G#,%>','&#>#,)<CBE% 1#,#$'--;7%!123%+,%KAI%6'(#(%6',%()*"%.;%+)(#-57%

.?)% CAI% 6'(#(% ,##/% +,)#$G#,)+*,% "$*6#/?$#% )*%

6*,)$*-%)9#%.-##/+,&<H%L9?(7%!123%(9*?-/%'-8';(%

.#%6*,(+/#$#/%'(%-+5#B)9$#')#,+,&%6*,/+)+*,<

3'(#/% *,% "$#G+*?(% ()?/+#(7% )9#$#% 8#$#% (#G#$'-%

>*$)'-+);% "$#/+6)*$(% +,% !1237% (?69% '(% '&#% '.*G#%

MA% ;#'$(7% 9;"*'-.?>+,7% ?,()'.-#% 9#>*/;,'>+6D (9*6:7%"$*-*,&#/%"$*)9$*>.+,%)+>#7%6*B>*$.+/+);7%

'/N?()#/%.-**/%$#O?+$#>#,)%+,/#P%0=3Q247%'("+$')#/%

.-**/% +,% ,'(*&'()$+6% )?.#7% (#"(+(7% 6*,(6+*?(,#((%

()')#7%+,6$#'(#/%.-**/%?$#'%,+)$*&#,%-#G#-7%*,&*+,&%

.-##/+,&7% .-##/+,&% +,% )9#% 9*("+)'-7% $#6?$$#,)%

.-##/+,&7% #,/*(6*";% ()+&>'7% ',/% "#$5*$>#/%

)9#$'";7% 89+69% '--% .#6*>#% 6*,(+/#$')+*,% 5*$% )9#%

6-+,+6+',%+,%"-',,+,&%)9#%>','&#>#,)<@BCA

R')'%*,%)9*(#%5'6)*$(%'(%>*$)'-+);%$+(:%5'6)*$(%+,%

"')+#,)(%8+)9%!123%+,%2,/*,#(+'%+(%()+--%?,'G'+-'.-#<%

L9#%>*()%6*>>*,%#)+*-*&;%*5%!123%+,%2,/*,#(+'%

+(%$?")?$#%*5%#(*"9'&#'-%G'$+6#(7%89+-#%+,%5*$#+&,%

6*?,)$+#(7%+)%+(%/?#%)*%"#")+6%?-6#$<CC%L9+(%/+55#$#,)%

69'$'6)#$+()+6% #,6*?$'&#% )*% "#$5*$>% 5?$)9#$%

()?/+#(% +,% *$/#$% )*% *.)'+,% >*$)'-+);% $+(:% 5'6)*$(%

+,% !123% +,% '66*$/',6#% 8+)9% 69'$'6)#$+()+6% *5%

"*"?-')+*,%+,%2,/*,#(+'<%L9+(%()?/;%8'(%#P"#6)#/%

)9')% !123% >*$)'-+);% $+(:% 5'6)*$(% +,% 9*("+)'-+S#/%

" ' ) + # , ) ( % + , % T + " ) * % F ' , & ? , : ? ( ? > * % U * ( " + ) ' -%

8*?-/%.#% +/#,)+5+#/7% ',/% )9?(7% +)% 8'(% #P"#6)#/% )*%

+,6$#'(#%#'$-;%'8'$#,#((%',/%*")+>'-%"-',,+,&%+,%

>','&#>#,)%*5%"')+#,)(<

!A:B?@

=% 6'(#% 6*,)$*-% ()?/;% 8'(% "#$5*$>#/% .#)8##,%

=?&?()% ',/% R#6#>.#$% VACC% .;% 6*--#6)+,&% ',/%

','-;S+,&%>#/+6'-%$#6*$/(%*5%'6?)#%!123%"')+#,)(%

9*("+)'-+S#/% +,% W',?'$;% VAAE% )+--% W?,#% VACC% +,%

T+")*%F',&?,:?(?>*%U*("+)'-7%W':'$)'<%2,6-?(+*,%

6$+)#$+'% +,% )9+(% ()?/;% 8#$#% '6?)#% ?""#$% !123%

SDWLHQWV DJHG • \HDUV ROG DQG UHFHLYHG VWDQGDUG

#>"+$+6'-% )9#$'";% ',/% '""$*"$+')#% $#(?(6+)')+*,%

"$*6#/?$#<% XP6-?(+*,% 6$+)#$+'% +,% )9+(% ()?/;% 8#$#%

"')+#,)(%/+(69'$&#/%*,%)9#+$%*8,%8+--7%+,6*>"-#)#%

$+(:% 5'6)*$(% /')'7% ',/% /+/% ,*)% $#6#+G#% .-**/%

)$',(5?(+*,%'(%+,/+6')#/<%T'(#(%8#$#%'6?)#%!123%

"')+#,)(%89*%"'((#/%'8';%/?$+,&%9*("+)'-+S')+*,%+,%

T+")*%F',&?,:?(?>*%U*("+)'-%/?$+,&%)9')%"#$+*/%

*5% )+>#<% T*,)$*-(% 8#$#% '6?)#% !123% "')+#,)(% 89*%

/+/%,*)%"'((#/%'8';%',/%()+--%9*("+)'-+S#/%+,%('>#%

"#$+*/%0/')#D>*,)9D;#'$D/')#%+,/#P4<%T*,)$*-(%8#$#%

$',/*>-;%)':#,%'(%>',;%'(%V%"#*"-#%*5%'6?)#%!123%

"')+#,)(%89*%/+/%,*)%"'((%'8';<

2,/#"#,/#,)%G'$+'.-#%+,%)9+(%()?/;%'$#%#-/#$-;7%

(9*6:7%>?-)+"-#%6*B>*$.+/+)+#(7%,##/%*5%)$',(5?(+*,7%

(#"(+(7% /#6$#'(#/% 6*,(6+*?(,#((7% 9;"*'-.?>+,7%

+,6$#'(#/% "$*)9$*>.+,% )+>#7% =3Q27% $#"#')#/%

.-##/+,&7%',/%?,"#$5*$>#/%#,/*(6*";<%R#"#,/#,)%

G'$+'.-#% +(% >*$)'-+);<% Y'>"-#% (+S#% +,% )9+(% ()?/;%

8'(% VMC% (?.N#6)(7% 6*,(+()#/% *5% KZ% (?.N#6)(% '(%

6'(#(% ',/% CZH% (?.N#6)(% '(% 6*,)$*-(% ',/% )9#% $')+*%

*5%6'(#%',/%6*,)$*-%8'(%C%[%V<%\.)'+,#/%/')'%8'(%

','-;S#/% 8+)9% Y]YY% 6*>"?)#$% (*5)8'$#% G#$(+*,%

CM<A<%^?$)9#$7%69+B(O?'$#%)#()%8'(%?(#/%5*$%.+G'$+')#%

',/%>?-)+G'$+')#%','-;(+(<%2,%6'(#%*5%"%_%A<AV@%5$*>%

.+G'$+')#% ','-;(+(7% >?-)+G'$+')#% ','-;(+(% 8*?-/%

5?$)9#$% .#% 6*,/?6)#/<% L9+(% ()?/;% 9'(% $#6#+G#/%

#)9+6'-%6-#'$',6#%5$*>%X)9+6'-%Q#(#'$69%T*>>+))##%

+,%F#/+6'-%^'6?-);%!,+G#$(+);%*5%2,/*,#(+'<

*A93C:9

Y?.N#6)(% 8#$#% >*()-;% >'-#(7% 8+)9% )9#% )*)'-% *5%

CZC%0M@<@I4%"')+#,)(7%'&#%&$*?"%_%MA%;#'$(%8'(%)9#%

>*()% '&#% &$*?"<% 3'(+6% 69'$'6)#$+()+6(% *5% "')+#,)(%

'$#% (9*8,% +,% L'.-#% C<% L'.-#% V% $#G#'-(% 6*B>*$.+/%

6*,/+)+*,(%',/%>*$)'-+);%69'$'6)#$+()+6(%+,%"')+#,)(7%

89*%-**:#/%8#--%+,%6'(#%*$%6*,)$*-%&$*?"%8+)9%9+&9%

"$*"*$)+*,%*5%'6?)#%:+/,#;%+,N?$;<%`9+-#7%.-##/+,&%

>',+5#()')+*,%>',;%#P"#$+#,6#/%.;%"')+#,)(7%.*)9%

+,%6'(#%',/%6*,)$*-%&$*?"%8'(%>#-#,'%0L'.-#%E4<%

(3)

!"#$%&'()*'+$%,&-'(*'./-0#'12(1 )K

:%D&2)EF)6%+'.).G%#%.$2#'+$'.+)"H)4%$'2/$+

;G%#%.$2#'+$'.) ;%+2

/)IJK

;"/$#"&

/)IJK E(F

9)*(

<(/)*(

GG"HIJ@KL JK"HJI@ML

NNI"HII@OL GM"HJJ@JL P%("H7()&4L

KJ"HKI@QL

IQ"HOJ@IL

GM"HJJ@JL NNI"HII@OL '24+$&7"$5":&=%"=4(

CEP8- P0+2;$)%=*)0+

R&):2+2$0)*",(&S4 P0+2T)%%&(42$0 E+(&$2:":&=%

P4.2&20

N"HN@NL NO"HNU@GL

N"HN@NL J"HJ@QL Q"HQ@IL

KJ"HNJ@KL JQ"HNU@GL K"HN@NL Q"HK@JL Q"HK@JL

#(,)32$&

E/$B20%

P*;$,$*";$04=/.+2$0

NJ"HNQ@UL NG"HM@IL

V(42:(0;(

D)B)&+) W+,(&4

II"HOG@UL

KN"HKQ@NL QQ"HKG@JL 16$,' QRQ VWHURLGDO DQWL LQÀDPPDWRU\ GUXJ

:%D&2)LF);G%#%.$2#'+$'.+)"H)."MN"#D'7)."/7'$'"/+)%/7)N"#$%&'$() '/)4%$'2/$+

;G%#%.$2#'+$'. ;%+2

/)IJK

;"/$#"&) /)IJK

>04+)S*(",(/$:70)/2;?4,$;B NG"HNO@KL NI"HU@KL

-(;&()4(:";$04;2$=40(44 KN"HKQ@NL G"HK@UL

E(.424 G"HM@IL

A$T/$&S2:";$0:2+2$04 X0(=/$02) AY- P4,+/) '7.(&+(042$0 A,&$02;"*23(&":24()4(

'(.)+2+24"#

'(.)+2+24"A

>0B0$Z0 C$":)+)"

PY8

GN"HGM@IL JN"HJG@IL K"HK@JL

Q"HQ@IL Q"HQ@IL JN"HJG@IL QM"HGG@KL IG"HOG@IL

JQ"HNU@GL KO"HNG@GL JU"HKK@QL JU"HKK@QL KG"HNQ@QL KU"HNI@OL

C=/S(&"$5";$T/$&S2:2+2(4 N

K J"

NN"HNK@IL NQ"HNI@NL IK"HON@JL

KM"HNOL JQ"HKNL QI"HKML GI"HJQL W04(+"+$":()+,"H:)7L

NTJ ["JTO"

["O"

KG"HKM@OL JK"HJI@ML A)=4("$5":()+,

E(.+2;"4,$;B W+,(&

V(4.2&)+$&7"5)2*=&(

NO"HNU@GL AY-\";,&$02;"B2:0(7":24()4(]"PY8\");=+("B2:0(7"20^=&7

:%D&2)OF):(42)"H)$G2#%4()%7N'/'+$2#27)$")4%$'2/$+

:(42)"H)$G2#%4( ;%+2 ;"/$#"&

/)IJK /)IJK

9(:2;)/(0+$4)

XX8 MNHUJ@NL NIU"HUO@NL

'KP M"HU@KL NJ"HO@GL

XX8")0:"'KP G"HG@OL U"HG@KL

_0:$4;$.2;"+,(&).7 J"HJ@QL

P0+2S2$+2; MI"HUM@UL NJN"HOG@JL

-2)%0$4+2;"(0:$4;$.7 NNHNK@IL NNN"HIJ@ML

E=&%(&7 G"HG@OL K"HN@NL

$%5, ! NK"HNJ@ML KJ"HNJ@JL

P/$=0+"$5"+&)045=42$0"20"O"

:)74!"H;;L

P/$=0+"$5"+&)045=42$0!"H;;L

XX8\".&$+$0".=/."20,2S2+$&]"'KP\",74+)/20("+7.("K")0+)%$024+]"P#V8\"):^=4+(:"

S*$$:"&(`=2&(/(0+"20:(F]"!"/(:2)0"H/20T/)FL

:%D&2)PF);G%#%.$2#'+$'.+)"H)D&227'/8)N%/'H2+$%$'"/+)'/)4%$'2/$+

;G%#%.$2#'+$'. ;%+2 ;"/$#"&

/)IJK /)IJK

W04(+"$5"S*((:20%"H:)7L

""""["NTJ

""""["J

QJ"HQU@QL KJ"HKI@QL KN"HKQ@NL

MU"HGN@NL QN"HKJ@IL QQ"HKG@JL

#*((:20%",74+$&7"H+2/(4L C$0(

a"K

IQ"HOG@JL NG"HNO@IL I"HO@NL

JU"HKK@QL

#*((:20%"/)025(4+)+2$0 9(*(0)

'(/)+(/(424 '(/)+(/(424"/(*(0)

QK"HQM@JL NO"HNU@GL KM"HJK@KL

UJ"HGJ@QL QK"HKQ@KL JU"HKK@QL C)4$%)4+&2;")4.2&)+( KQ"HKO@IL QG"HKG@UL V(;=&&(0+"S*((:20%" QJ"HQU@QL KQ"HNJ@ML

3'(#/%*,%)9#%);"#%*5%)9#$'";%&+G#,7%+,%)9#%6'(#%

&$*?"% *,-;% CV<MI% "')+#,)(% $#6#+G#/% /+'&,*()+6%

#,/*(6*";%',/%E<HI%"')+#,)(%$#6#+G#/%#,/*(6*"+6%

)9#$'";% 0L'.-#% H4<% `9+-#7% -'.*$')*$;% $#(?-)(% +,%

"')+#,)(%'$#%(9*8,%+,%L'.-#%@<

Q+(:% 5'6)*$% (?.B','-;(+(% +,% )9#% "$#(#,6#% *5%

#,/*(6*";%"$*6#/?$#%8'(%'-(*%"#$5*$>#/%+,%"')+#,)(%

ZLWK DJH JURXS • \HDUV DQG DJH \HDUV ROG L9#%$#(?-)(%(9*8#/%)9')%"')+#,)7%)*%89*>%#,/*(6*";%

"$*6#/?$#% 8'(% ,*)% "#$5*$>#/7% 9'(% (+&,+5+6',)%

/+55#$#,6#%'&'+,()%>*$)'-+);%+,6+/#,6#%/?#%)*%!123<%

U*8#G#$7% "')+#,)(% 89*% ?,/#$8#,)% #,/*(6*";% 8#$#%

PRVWO\ LQ WKH DJH JURXS • \HDUV FRPSDUHG WR

"')+#,)(%+,%)9#%'&#%&$*?"%_%MA%;#'$(<%

3+G'$+')#% ','-;(+(% #P9+.+)#/% '((*6+')+*,% *5% $+(:%

5'6)*$(% +,% "')+#,)(% 89*% ?,/#$8#,)% #,/*(6*";% 8+)9%

>*$)'-+);%/?#%)*%!1237%"'$)+6?-'$-;%\Q%a%CV<CZ%0b@I%

T2% a% M<AVcVH<MCd% "% _% A<AAC4<% ^?$)9#$% >?-)+G'$+')#%

','-;(+(%$#(?-)#/%+,%\Q%a%CC<b@%0b@I%T2%a%H<Z@BEA<CCd%

"%_%A<AAC4%0L'.-#%M4<

(4)

45&'678"7&90:7';"$-7:#'"<'=:9>-"&7>&-"#"?@*'A&/:>"#"?@':78'B0?&9>0C&'D78"9E"/@

O2

@=9;399=?>

L9#$#% '$#% (*>#% /+55#$#,6#(% +,% )9#% $#(?-)(% *5% )9+(%

()?/;%6*>"'$#/%)*%"$#G+*?(%()?/+#(<%L9#%>*$)'-+);%$')#%

*.)'+,#/%+,%)9+(%()?/;%8'(%VEBE@I7%89+69%8'(%9+&9#$%

6*>"'$#/%)*%)9#%"$#G+*?(%()?/;7%CABCHI<CBE%L9+(%8'(%

.#6'?(#% )9#% /')'% +,6-?/#/% >*$)'-+);% +,% "')+#,)(% 8+)9%

!123% *,% 9*("+)'-% '/>+((+*,% ',/% >*$)'-+);% /?#% )*%

!123% *66?$$#/% /?$+,&% 9*("+)'-+S')+*,<%=//+)+*,'--;7%

>*()%*5%)9#%()?/;%('>"-#(%8#$#%-#((%)9',%MA%;#'$(%*5%

'&#<%L9+(%+(%/+55#$#,)%6*>"'$#/%)*%*)9#$%6*?,)$+#(7%+,%

89+69%('>"-#(%8#$#%>*()-;%'.*G#%MA%;#'$(%*-/<@7M%\)9#$%

69'$'6)#$+()+6%/+55#$#,6#%89+69%'-(*%,##/%)*%.#%()$#((#/%

*,%8'(%(#"(+(%6*,/+)+*,7%89+69%8'(%>*$#%-+:#-;%)*%.#%

5*?,/%+,%)9+(%()?/;%('>"-#(%6*>"'$#/%)*%('>"-#(%+,%

)9#%()?/;%"#$5*$>#/%.;%e+>>#$>',%#)%'-<CV

\)9#$% /+55#$#,6#% +,6-?/#/% +,6$#'(#% *5% >*$)'-+);%

$+(:% '(% )9#% '&#% 8'(% *-/#$<% R+55#$#,)% 8+)9% )9#% ()?/;%

.;% Q*6:'--% #)% '-7% +)% 8'(% 5*?,/% )9')% )9#$#% 8'(% V<EH%

)+>#(%+,6$#'(#%+,%)9#%'&#%*5%MABZb%;#'$(%',/%+,6$#'(#%

H<HE%)+>#(%+,%"')+#,)(%'.*G#%KA%;#'$(%*-/<CE%3+G'$+')#%

DQDO\VLV LQ WKH DJH YDULDEOH • \HDUV ROG VKRZHG 25 ZKLFK PHDQV WKDW DJH YDULDEOH • \HDUV ROG 9'(%"$*)#6)+G#%#55#6)<%U*8#G#$7%$#(?-)(%*5%b@I%T2%a%A<HB C<VZd%"%a%A<V@%(9*8#/%)9')%$#(?-)%8'(%,*)%()')+()+6'--;%

VLJQL¿FDQW )XUWKHU DQDO\VLV RQ ULVN IDFWRU GLIIHUHQFH LQ .*)9%'&#%&$*?"(7%8'(%*,-;%*,#%$+(:%5'6)*$7%#,/*(6*";%

:%D&2)QF);G%#%.$2#'+$'.+)"H)&%D"#%$"#()#2+1&$+)'/)4%$'2/$+

C%D"#%$"#()#2+1&$+ ;%+2 ;"/$#"&

J)I9@K J)I9@K

PER"["K"F"C" JQ"HNU@GL

PbR"["K"F"C QU"HGI@JL QJ"HKQ@OL

XR?A"["N@G"F"A"H4(;$0:L KQ"HKO@IL KJ"HNJ@KL

PXRR?A"["N@G"F"A"H4(;$0:L KQ"HKO@IL KJ"HNJ@KL

'7.$)*S=/20"a"J@G"H%?:bL OI"HMO@QL

802+2)*",(/$%*$S20c"H%?bL M@O"d"J@I M@G"d"J@G

<20)*",(/$%*$S20cH%?bL U@Q"d"K@QN

802+2)*",(/)+$;&2+(c"HeL KG@JI"d"U@J

<20)*",(/)+$;&2+(c"HeL

P*S=/20c"H%?:bL"

X&$+,&$/S20("+2/(c"H4(;$0:L NG@ON"d"U@GO

b(=B$;7+(!"H?=bL"

7KURPERF\WH J?=bL

>&(=/!"H/%?:bL A&()+2020!"H/%?:bL

PER!"H>?bL IJ"HMTN1IKOL

PbR!"H>?bL PXRR!"H4(;$0:L

PER\")4.)&+)+("+&)04)/20)4(]"PbR\")*)020(")/20$+&)045(&)4(]"XR\".&$+,&$/S20"+2/(]"PXRR\");+23)+(:".)&+2)*"

+,&$S$.*)4+20"+2/(]"A\";$0+&$*]"PER?PbR"["K"F"C\"0=/S(&"$5"4)/.*(4",)3("PER"*(3(*"/$&("K"F"+,)0"0$&/)*]"

c/()0"d"E-]"!)S0$&/)*":24+&2S=+2$0"Z)4"4,$Z(:"20"E-"H/)F2/=/T/202/=/L

:%D&2)RF)*2+1&$+)"H)D'S%#'%$2)%/7)N1&$'S%#'%$2)N"#$%&'$()#'+,)H%.$"#+)'/)4%$'2/$+

*'+,)H%.$"& @2%$G

IJK

0&'S2 IJK

?*T I;=)UQJK

?*V I;=)UQJK

$JH • \HDU KJ"HKI@QL GM"HJJ@JL ±

>04+)S*(",(/$:70)/2; NG"HNO@KL NI"HU@KL ±

0XOWLSOH FRPRUELGLWLHV • IK"HON@JL GI"HJM@QL ± K@II"HN@KNTG@MGL

$%5, ! NK"HNJ@ML KJ"HNJ@KL

E(.424!! NG"HM@IL ±

-(;&()4(:";$04;2$=40(44!! KN"HKQ@NL G"HK@UL ±

'7.$)*S=/20 OI"HMO@QL ±

37 • [ & KQ"HKO@IL KJ"HNJ@KL ±

V(;=&&(0+"S*((:20%!! QJ"HQU@QL KQ"HNJ@ML ±

C$+".(&5$&/(:"(0:$4;$.7!! OI"HMO@QL IJ"HJI@KL ±

P#V8\"):^=4+(:"S*$$:"&(`=2&(/(0+"20:(F]"XR\".&$+,&$/S20"+2/(]"A\";$0+&$*]"CP\"0$+")..*2;)S*(])ELYDULDWH DQDO\VLV S PXOWLYDULDWH )0)*7424

(5)

!"#$%&'()*'+$%,&-'(*'./-0#'12(1 O(

SURFHGXUH QRW SHUIRUPHG ZKLFK UHYHDOHG VLJQL¿FDQW /+55#$#,6#<%2,%)9+(%()?/;7%)9#%"$*"*$)+*,%*5%&$*?"%'&#/%

• ZKR XQGHUZHQW HQGRVFRS\ H[DPLQDWLRQ ZDV PRUH 6*>"'$#/% )*% )9#% &$*?"% '&#/% _% MA% ;#'$(<%L9+(% >+&9)%

JLYH WKH SRVVLEOH H[SODQDWLRQ RQ ZK\ HOGHUO\ DJHG • MA%;#'$(%&$*?"%9'/%"$*)#6)+G#%#55#6)<%3-##/+,&%#)+*-*&;%

6',%.#%5*?,/%)9$*?&9%#,/*(6*";%#P'>+,')+*,7%(*%)9')%

#,/*(6*";%)9#$'";%',/%>','&#>#,)%'66*$/+,&%)*%)9#%

/+'&,*(+(%6',%.#%"#$5*$>#/<%^?$)9#$>*$#7%"')+#,)(%'&#/%

• \HDUV ROG UHFHLYHG PRUH VSHFL¿F DWWHQWLRQ IURP R+G+(+*,%*5%1#$+')$+6%R#"'$)>#,)%*5%2,)#$,'-%F#/+6+,#%

LQ &LSWR 0DQJXQNXVXPR +RVSLWDO VXFK DV VSHFL¿F 8'$/7%"9;6+(+',(7%',/%"'$'>#/+6(7%(*%)9#%',)+6+"')+*,%

',/%>','&#>#,)%&+G#,%8*?-/%.#%.#))#$<%U*8#G#$7%)*%

"$*G#%)9+(%5?$)9#$%()?/;%,##/%)*%.#%"#$5*$>#/<

2,%)9#%()?/;%.;%Q*6:'--%#)%'-7%$+(:%5'6)*$%*5%?,()'.-#%

KHPRG\QDPLF FRQGLWLRQ LV D VLJQL¿FDQW ULVN IDFWRU IRU

!123%>*$)'-+);7%/+55#$#,)%8+)9%)9+(%()?/;<%L9+(%6*?-/%

.#%/?#%)*%)9+(%6*,/+)+*,%8'(%5#8#$%+,%)9+(%()?/;%('>"-#%

)9',%+,%)9#%()?/;%.;%Q*6:'--%#)%'-7%8+)9%KA<CI%('>"-#(%

#P"#$+#,6#/%?,()'.-#%9#>*/;,'>+6<CE

Y)?/+#(%"#$5*$>#/%.;%Y'-+>+%#)%'-%',/%f*--#5%#)%'-%

()')#/%)9')%+,6$#'(#%*5%"$*)9$*>.+,%)+>#%8'(%*,#%*5%)9#%

>*$)'-+);% "$#/+6)*$(% +,% &'()$*+,)#()+,'-% .-##/+,&<CH7C@%%

2,% )9+(% ()?/;7% +,6$#'(#% *5% ]LD6*,)$*-% g% C<@% P% 6*,)$*-%

*,-;%*66?$$#/%+,%CKI%*5%'--%()?/;%('>"-#d%)9+(%$#(?-)%

8'(%-*8#$%6*>"'$#/%)*%)9#%()?/;%6*,/?6)#/%.;%Y'-+>+%

#)% '-<CH% 2,% )9#% .+G'$+')#% ','-;(+(% *5% )9+(% ()?/;7% )9#$#%

8'(% '((*6+')+*,% .#)8##,% +,6$#'(#% *5% "$*)9$*>.+,%

)+>#%',/%>*$)'-+);7%.?)%>?-)+G'$+')#%','-;(+(%$#G#'-#/%

,*%'((*6+')+*,<%Q#(?-)(%*5%.-*6:%(;()#>%>?-)+G'$+')#%

','-;(+(% (9*8#/% )9')% /#6$#'(#% \Q% >*$#% )9',% CAI%

*66?$$#/% '5)#$% '//+,&% $#6?$$#,)% .-##/+,&% G'$+'.-#<%

L9?(7% )9+(% G'$+'.-#% 8'(% +,5-?#,6#/% .;% $#6?$$#,)%

.-##/+,&% G'$+'.-#% )*% 6'?(#% >*$)'-+);<% 2,6$#'(#% *5%

"$*)9$*>.+,%)+>#%,##/%)*%.#%#G'-?')#/%+,%'((*6+')+*,%

8+)9%-+G#$%/+(#'(#%6*B>*$.+/+);%+,%)9#%()?/;%(?.N#6)(<%

U*8#G#$7%+,%)9+(%()?/;7%)9#%"$*"*$)+*,%*5%9#"')+)+(%3%

',/%T%8'(%_%@I%+,%6'(#%&$*?"%',/%)9#%/+'&,*(+(%*5%

6+$$9*(+(%8'(%*,-;%CI%+,%)9#%6*,)$*-%&$*?"<%L9+(%/')'%

,##/% )*% .#% #G'-?')#/% .#6'?(#% +,% )9#% 6*,)$*-% &$*?"7%

'""#'$',6#%*5%#(*"9'&#'-%G'$+6#(%8'(%5*?,/%+,%V@<@I%

(?.N#6)(<%L9+(%/+('&$##>#,)%>';%9'""#,%/?#%)*%-+>+)#/%

/')'%+,%)9#%>#/+6'-%$#6*$/(<

U;"*'-.?>+,%_%E<@%&D/h%89+69%+(%>*()%5$#O?#,)-;%

'((*6+')#/%8+)9%(#G#$'-%'66*>"',;+,&%6*B>*$.+/+)+#(7%

"'$)+6?-'$-;%-+G#$%/+(#'(#%'""'$#,)-;%/*#(%,*)%"-';%$*-#%

+,%>*$)'-+);%$+(:%5'6)*$(%+,%!123<%U*8#G#$7%+5%)9#%6?)%

*55% G'-?#% *5% 9;"*'-.?>+,% +(% -*8#$#/% )*% .#-*8% V<@%%

J G/ WKH YDOXH ZDV VWDWLVWLFDOO\ VLJQL¿FDQW DV REWDLQHG +,%)9#%$#(?-)%*5%)9#%()?/;%.;%L9*>'(%#)%'-<M

L9#%69'$'6)#$+()+6%*5%"')+#,)(%+,%)9+(%()?/;%(+,6#%)9#%

.#&+,,+,&%8'(%)9*?&9)%)*%9'G#%G'$+6#(%'(%)9#%6'?(#%*5%

!123<%3'(#/%*,%)9+(7%)9+(%()?/;%)$+#/%)*%#G'-?')#%)9#%

=3Q2% +,/#P<%=""'$#,)-;7% .+G'$+')#% ','-;(+(% $#(?-)(%

(9*8#/%)9#$#%8'(%,*%'((*6+')+*,%.#)8##,%=3Q2%G'-?#%

g%A<Z@%',/%>*$)'-+);<%L9+(%+(%/+55#$#,)%8+)9%"$*("#6)+G#%

()?/;%6*,/?6)#/%.;%i'9##/%#)%'-%',/%e?.#$+%#)%'-7%89*%

#G'-?')#/%>*$)'-+);%$+(:%+,%!123%6'?(#/%.;%G'$+6#(<CM7CZ 2,%)9+(%()?/;7%>*()%*5%)9#%('>"-#%+,%6'(#%&$*?"%/+/%

,*)% ?,/#$&*% #,/*(6*";% #P'>+,')+*,% ',/% #,/*(6*";%

)9#$'";<% Q#'(*,(% 5*$% ,*)% 6*,/?6)+,&% #,/*(6*";7%

+,6-?/#/% "')+#,)(J% .'/% 6*,/+)+*,7% "')+#,)(J% 5'>+-;%

$#5?(#% )9#% #P'>+,')+*,% "$*6#/?$#7% -'6:% *5% 5?,/(7%

',/% ?,'G'+-'.-#% #P'>+,')+*,% (69#/?-#<% L9#$#5*$#7%

#,/*(6*";% /+'&,*(+(% 8'(% ?,:,*8,% ',/% "')+#,)(% /+/%

,*)%$#6#+G#%'""$*"$+')#%+,)#$G#,)+*,%)9#$'";<%L9+(%8'(%

/+55#$#,)%8+)9%)9#%()?/+#(%.;%Q*6:'--%#)%'-%*$%Y'-+>+%#)%

'-7%+,%89+69%'--%()?/;%(?.N#6)(%?,/#$8#,)%#,/*(6*";%

#P'>+,')+*,<CE7CH%U#,6#7% $+(:% 5'6)*$(% *5% ()+&>')'%

#,/*(6*";7%+,%89+69%8#$#%()')#/%+,%)9#%-+)#$')?$#%)*%"-';%

$*-#%'(%>*$)'-+);%"$#/+6)*$7%6*?-/%,*)%.#%','-;S#/%/?#%

)*%+,6*>"-#)#%/')'%+,%)9#%>#/+6'-%$#6*$/<CK

L9#% ()$#,&)9% *5% )9+(% ()?/;% 8'(% *,% )9#% /+55#$#,)%

69'$'6)#$+()+6% *5% ('>"-#(% 6*>"'$#/% )*% )9#% "$#G+*?(%

()?/+#(7%'-(*%5*?,/+,&%*5%)9#%(#$G+6#%6*,/+)+*,%89+69%

9'/%,*)%6*>"-#)#-;%+,%'66*$/',6#%8+)9%)9#%&?+/#-+,#(<Cb% R+55#$#,)%$+(:%5'6)*$(%6*>"'$#/%)*%)9#%"$#G+*?(%()?/+#(7%

89+69% 8#$#% 9+&9#$% (#"(+(% +,6+/#,6#7% #-/#$-;7% '-(*%

9;"*'-.?>+,%6?)B*55%G'-?#%,##/%)*%.#%,*)#/%+,%)$#')+,&%

'6?)#%!123%+,%T+")*%F',&?,:?(?>*%U*("+)'-<%L9+(%

$#(?-)%6',%.#%?(#/%)*%#G'-?')#%*"#$')+,&%"$*6#/?$#(%+,%

T+")*%F',&?,:?(?>*%U*("+)'-7%)9#$#5*$#%+,%5?)?$#%8#%

6',%?(#%'(%.'(#%)*%',)+6+"')#%>*$)'-+);%$+(:%',/%+,6$#'(#%

(#$G+6#%O?'-+);<

;?>;C39=?>

6LJQL¿FDQW PRUWDOLW\ ULVN IDFWRUV LQ 8*,% LQFOXGH

>?-)+"-#%6*B>*$.+/+)+#(7%(#"(+(7%/#6$#'(#%6*,(6+*?(,#((7%

',/%$#6?$$#,)%.-##/+,&%*,%9*("+)'-%'/>+((+*,<%`9+-#7%

#-/#$-;7% +,6$#'(#% "$*)9$*>.+,% )+>#7% 9;"*'-.?>+,7%

?,()'.-#% 9#>*/;,'>+6% /?$+,&% 9*("+)'-% '/>+((+*,7%

',/%=3Q2%8#$#%,*)%"$*G#,%'(%>*$)'-+);%$+(:%5'6)*$(<%

F*$)'-+);%$+(:%5'6)*$(%'-(*%+,6$#'(#/%+5%#,/*(6*";%8'(%

,*)%6*,/?6)#/<

9355A9:=?>

6LJQL¿FDQW ULVN IDFWRUV QHHG WR EH FRQVLGHUHG LQ )':+,&%/#6+(+*,(%+,%>','&#>#,)%*5%"')+#,)%8+)9%'6?)#%

!123<%X,/*(6*";%"$*6#/?$#%+,%'6?)#%!123%,##/%)*%

(6)

45&'678"7&90:7';"$-7:#'"<'=:9>-"&7>&-"#"?@*'A&/:>"#"?@':78'B0?&9>0C&'D78"9E"/@

O1

.#%"#$5*$>#/%+,%*$/#$%)*%:,*8%)9#%#)+*-*&;%*5%.-##/+,&%

',/%5?$)9#$%>','&#/%8+)9%#,/*(6*";%)9#$'";<%Q#(?-)(%

*5%)9+(%()?/;%6*?-/%.#%?(#/%'(%)9#%.'(#%5*$%.#))#$%()?/;%

+,%#G'-?')+,&%)9#%()$#,&)9%*5%'((*6+')+*,%+,%)9#%G'$+'.-#%

*5%'6?)#%!123%>*$)'-+);%$+(:7%89+69%+(%+,%'66*$/',6#%

8+)9%69'$'6)#$+()+6%*5%2,/*,#(+',%"*"?-')+*,<

*A-A*A>;A9

C<% R'-)*,% R7% 1$',)BT'(#;% W7% U#'$,(9'8% Y7% h*8#% R7%

L$'G+(% Y7% Q*6:'--% L7% #)% '-<% L9#% !f% 6*>"'$')+G#% '?/+)%

*5% ?""#$% &'()$*+,)#()+,'-% .-##/+,&% ',/% )9#% ?(#% *5% .-**/<%

\P5*$/7% !f[% i')+*,'-% 3-**/% Y#$G+6#% VAAZ% j6+)#/% VACV%

^#.% VAk<% =G'+-'.-#% 5$*>[% !Qh[% 9))"[DD9*("+)'-<.-**/<

6*<?:D-+.$'$;D"/5D!12l3-##/l=?/+)lQ#"*$)lL$',(%

5?(+*,lXP)$'6)<"/5<

V<% m',%h##$/'>%FX<%X"+/#>+*-*&;%*5%'6?)#%?""#$%&'()$*+,)#()+,'-%

.-##/+,&<%3#()%]$'6)%Q#(%T-+,%1'()$*#,)#$*-%VAAKdVV[VAbBVH<%

E<% /DQDV $ *DUFÕD 5RGUÕ•JXH] /$ 3ROR 7RPD•V 0 3RQFH 0

=-*,(*B=.$#?%27%]#$#S%B=+('%F=7%#)%'-<%L+>#%)$#,/(%',/%+>"'6)%

*5%?""#$%',/%-*8#$%&'()$*+,)#()+,'-%.-##/+,&%',/%"#$5*$')+*,%

+,%6-+,+6'-%"$'6)+6#<%=>%W%1'()$*#,)#$*-%VAAbdCAH[CMEEBHC<

H<% F'S#,%=7% F*9'>>#/%=7% W*9,% W<% F','&+,&% '6?)#% ?""#$%

12% .-##/+,&7% "$#G#,)+,&% $#6?$$#,6#(<% T-#G% T-+,% W% F#/%

VACAdZZ[CECBHV<

@<% Y?,&% WW7% L(*+% ff7% F'% Lf7% n?,&% Fn7% h'?% Wn<% T'?(#(%

*5% >*$)'-+);% +,% "')+#,)(% 8+)9% "#")+6% ?-6#$% .-##/+,&[%

'%"$*("#6)+G#%6*9*$)%()?/;%*5%CA7HVK%6'(#(<%=>%W%1'()$*#,)#$*-%

VACAdCA@[KHBb<

M<% L9*>'(%^7%W'(*,%=7%R'8,%L7%h;,,%]7%Q*(#%T7%T9;,)9+'%F7%#)%

'-<%]$#/+6)+,&%"**$%*?)6*>#%5$*>%'6?)#%?""#$%&'()$*+,)#()+,'-%

9#>*$$9'&#<%=$69%2,)#$,%F#/%VAAZdCMZ[CVbCBM<

Z<% T$'+*G'% ]T<%=((#((>#,)% *5% "$*&,*(+(% 5'6)*$(% +,% "')+#,)(%

8+)9%?""#$%,*,BG'$+6#'-%&'()$*+,)#()+,'-%.-##/+,&%VACA%j6+)#/%

VACV% ^#.% VAk<%=G'+-'.-#% 5$*>[% !Qh[% 9))"[DD888<?>56G<$*D

¿OHV D V DVVHVVPHQW RI SURJQRVLV IDFWRUV LQ IVA"')+#,)(<"/5<

K<% =-'>%Ff<%^'6)*$(%'55#6)+,&%9*("+)'-%>*$)'-+);%+,%'6?)#%?""#$%

&'()$*+,)#()+,'-%.-##/+,&<%Y'?/+%W%1'()$*#,)#$*-%VAAAdM[KZBbC<

b<% ^'$**O%^L7%h##%FU7%R'(%=7%R+P+)%Q7%Q+69'$/%Tf7%`*,&%F7%

#)%'-<%T-+,+6'-%)$+'&#%/#6+(+*,%G(<%$+(:%(6*$#(%+,%"$#/+6)+,&%)9#%

,##/%5*$%#,/*)9#$'";%+,%?""#$%&'()$*+,)#()+,'-%.-##/+,&<%=>%

W%X>#$&%F#/%VACVdEA[CVbcEH<

CA<% m#,:')'$'>',% Y7% T9$+()*"9#$<%=((#((+,&% .-##/(% 6-+,+6'--;[%

89')J(%)9#%(6*$#o%h',6#)%VAAbdEZV[CBE<

CC<% Y;'>% =^7% =./?--'9% F7% F':>?,% R7% Y+>'/+.$')'% F7%

RN*N*,+,&$')% R7% F',',% T7% #)% '-<% L9#% 6'?(#(% *5% ?""#$%

&'()$*+,)#()+,'-% .-##/+,&% +,% )9#% ,')+*,'-% $#55#$'-% 9*("+)'-[%

#G'-?')+*,%*,% ?""#$% &'()$*+,)#()+,'-% )$'6)% #,/*(6*"+6% $#(?-)%

LQ ¿YH \HDUV SHULRG ,QGRQHV - *DVWURHQWHURO +HSDWRO 'LJHVW X,/*(6%VAA@dM[ZCBH<

CV<% e+>>#$>',%W7%Y+&?#,6+'%X7%L(G',&%X<%]$#/+6)*$(%*5%>*$)'-+);%

+,%"')+#,)(%'/>+))#/%)*%9*("+)'-%5*$%'6?)#%?""#$%&'()$*+,)#()+,'-%

9#>*$$9'&#<%W%2,)#$,%F#/%Cbb@dVEZ[EECBZ<

CE<% Q*6:'--% L=7% h*&',% Q^7% R#G-+,% U3<% Q+(:% '((#((>#,)% '5)#$%

'6?)#%?""#$%&'()$*+,)#()+,'-%9#>*$$9'&#<%1?)%CbbMdEK[ECMBVC<

CH<% Y'-+>+% W7% Y'-+>S'/#9<% \?)6*>#% *5% ?""#$% &'()$*+,)#()+,'-%

KHPPRUUKDJH DFFRUGLQJ WR WKH EOHHG ULVN FODVVL¿FDWLRQ D WZR

;#'$%"$*("#6)+G#%(?$G#;<%3'9$'+,%F#/%3?--%VAAZdC@[CBCV<%

C@<% f*--#5%FU7%\.$+#,%WR7%e?6:#$>',%1Q7%Y9',**,%`<%3-##/[%

D FODVVL¿FDWLRQ WRRO WR SUHGLFW RXWFRPHV LQ SDWLHQWV ZLWK DFXWH

?""#$%',/%-*8#$%&'()$*+,)#()+,'-%9#>*$$9'&#<%T$+)%T'$#%F#/%

CbbZdV@[CCV@BEV<

CM<% i'9##/%=7%3'/#$%^7%Y;#/%Q<%R#)#$>+,')+*,%*5%6*$#-')+*,%*5%

'/N?()#/%.-**/%$#O?+$#>#,)%+,/#P%8+)9%*?)6*>#%+,%"')+#,)(%

"$#(#,)+,&%8+)9%'6?)#%G'$+6#'-%.-##/+,&<%`*$-/%W%1'()$*#,)#$*-%

VAAbdC@[VEZVB@<

CZ<% e?.#$+%3^7%Q+'S7%Y?-)',7%1*.+,/$'><%T*$$#-')+*,%*5%'/N?()#/%

.-**/% $#O?+$#>#,)% +,/#P% 8+)9% )$#')>#,)% +,)#$G#,)+*,% ',/%

*?)6*>#%+,%"')+#,)(%"$#(#,)+,&%8+)9%'6?)#%G'$+6#'-%.-##/+,&<%

W%R*8%!,+%U#'-)9%Y6+%VAAZdC[M@BK<

CK<% h*$#,% h<% 1'()$*+,)#()+,'-% .-##/+,&<% 2,[% f'("#$% Rh7% ^'?6+%

=Y7% h*,&*% Rh7% 3$'?8'-/% X7% U'?(#$% Yh7% W'>#(*,% Wh7% #/(<%

U'$$+(*,J(%]$+,6+"-#(%*5%2,)#$,'-%F#/+6+,#<%CM)9%#/<%i#8%n*$:[%

F'61$'8BU+--%VAAM<"<VE@BK<

Cb<% T','/+',% F#/+6'-%=((*6+')+*,<% 1?+/#-+,#(% 5*$% ]9;(+6+',(%

+,% 2,)#$'6)+*,% 8+)9% 2,/?()$;<% \))'8'7% \,)'$+*7% T','/'[%

L9#%=((*6+')+*,% VAAZ<"<CB@% j6+)#/% VACV% ^#.% VVk<%=G'+-'.-#%

5$*>[% !Qh[% 9))"[DD"*-+6;.'(#<6>'<6'D/.)8B8"/D]*-+6;"/5D ]RAKBAC<"/5<

&RUUHVSRQGHQFH% A'$)6+,*%R*.+,(*,%%

3*&*$%D#'-)6%F#"'$)7#,)%

K-:%Q#(#6')',%S*:%L%3*&*$%ITITI%2,/*,#(+'%

3KRQH IDFV %

( PDLO URELQLSG#\DKRR FRP

Referensi

Dokumen terkait

Background: Endoscopy is the most accurate method for diagnosing the source of upper gastrointestinal bleeding.This study was aimed to evaluate the correlation between the timing