To comprehensively evaluate the effectiveness of the multidisciplinary team(MDT)approach in the treatment of elderly patients with acute non-variceal upper gastrointestinal bleeding, cost-benefit analysis and nursing quality under different treatment modalities.

A total of 114 elderly patients with acute non-variceal upper gastrointestinal bleeding in the Second Medical Center of the PLA General Hospital from January 2021 to January 2023 were retrospectively analyzed.Among them, 15 did not meet the inclusion criteria, 4 were unwilling to participate in the study, and 3 had incomplete data.Finally, 92 elderly patients with acute upper gastrointestinal bleeding were included as the study subjects.Based on different emergency treatment methods, all patients were divided into a control group(conventional emergency treatment, n=52)and an observation group(MDT model treatment, n=40). The clinical efficacy, surgical-related indicators(bleeding cessation time, waiting time, intraoperative blood loss, length of hospital stay, hospitalization costs), mortality and rebleeding rate, adverse reactions, and nursing satisfaction were compared between the two groups.

The overall effective rate of treatment in the observation group was 97.50%, significantly higher than the 75.00% in the control group(P<0.05). Compared with the control group, the observation group had significantly shorter times to stop bleeding, waiting times, and lengths of hospital stay, and it also had significantly reduced intraoperative blood loss and hospitalization costs(P<0.05). Additionally, the observation group exhibited significantly lower rates of mortality, rebleeding, and adverse reactions(P<0.05), and nursing satisfaction was significantly higher than that in the control group(P<0.05).

The MDT model has a distinct advantage in treating elderly patients with acute non-variceal upper gastrointestinal bleeding, with high therapeutic effect, cost effectiveness and nursing satisfaction.