In individuals with MI, delirium was associated with increased inpatient mortality.

known about the impact of atrial fibrillation on patients hospitalized for COPD exacerbation. The aim of this study was to examine the mortality and costs associated with AF in a cohort of patients hospitalized for COPD exacerbation. Methods The study used discharge records from the National Inpatient Sample (NIS) database. The NIS is the largest all-payer hospitalization database in the United States and is available to the public. It is part of the Healthcare Cost and Utilization Project (HCUP) and sponsored by the Agency for Healthcare Research and Quality (AHRQ). Data was analyzed for the years 2012 to 2014 due to similarities in the sampling design. For these years the NIS provided a 20% stratified sample from all hospital discharges nationwide excluding rehabilitation and long-term care units. It contains approximately 7 million discharge records per year and contains a weight variable www.jafib.com Aug-Sep 2019| Volume 12| Issue 2

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Purpose of review Gastric vascular abnormalities are a well known cause of gastrointestinal bleeding. Due to their recurrent bleeding tendency and potential to cause life-threatening blood loss, gastric vascular abnormalities can result in significant morbidity and cost. Recent findings There have been novel advances in medical and endoscopic management of gastric vascular lesions. New data suggest that endoscopic band ligation and ablation may be comparable, or even superior, to argon plasma coagulation (APC) for management of gastric antral vascular ectasia (GAVE). A creative, highly sensitive and specific computer-assisted tool has been developed to facilitate reading video capsule endoscopies for the detection of angiodysplasias, paving the way for artificial intelligence incorporation in vascular lesions diagnostics. Over-the-scope clipping is a relatively new technology that shows promising results in controlling bleeding from Dieulafoy's lesions. Summary In this article, we will broadly review the management of the most prevalent gastric vascular lesions, focusing on the most recent areas of research.