Screening for occult gastrointestinal bleeding in hospital patients

J R Soc Med. 1981 Jan;74(1):41-3.

Abstract

Stools have been tested for occult gastrointestinal bleeding in 278 outpatients and 170 hospital inpatients using the Haemoccult and Haemastix methods. Seventeen outpatients (6.1%) and 42 inpatients (24%) were positive with the Haemoccult technique. Thirty-three outpatients (11.9%) and 93 inpatients (54.7%) were positive with the Haemastix test. Following investigation of the Haemoccult-positive patients, only 2 cases (3.4%) were considered false positive. However, the false positive rate with Haemastix was 22.9% which is unacceptable in a screening test. Haemoccult may be useful as a screening test for asymptomatic general practice patients, but a test of greater sensitivity is needed for hospital patients.

Publication types

  • Clinical Trial
  • Comparative Study
  • Controlled Clinical Trial

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • False Positive Reactions
  • Feces
  • Female
  • Gastrointestinal Hemorrhage / diagnosis*
  • Hospitalization
  • Humans
  • Male
  • Middle Aged
  • Reagent Kits, Diagnostic

Substances

  • Reagent Kits, Diagnostic