Varis dışı üst gastrointestinal kanamada klinik sonuçların tahmininde risk puanlama sistemlerinin karşılaştırılması: prospektif randomize çalışma-Reference-Cited by-同舟云学术

Varis dışı üst gastrointestinal kanamada klinik sonuçların tahmininde risk puanlama sistemlerinin karşılaştırılması: prospektif randomize çalışma

Published:2023-05-31 Issue:3 Volume:6 Page:643-649
ISSN:2636-8579
Container-title:Journal of Health Sciences and Medicine
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Author:

DURAK Muhammed Bahaddin¹^ORCID,BAŞPINAR Batuhan¹^ORCID,GÜVEN İbrahim Ethem¹^ORCID,YÜKSEL İlhami¹^ORCID

Affiliation:

1. SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ

Abstract

Aim: Non-variceal upper gastrointestinal bleeding (UGIB) is a typical gastrointestinal emergency. Detection of high-risk patients is crucial to organize medical care accordingly. This study aims to compare risk assessment scores for their ability to predict prognosis in nonvariceal-UGIB. Material and Method: Adult patients with nonvariceal-UGIB applied to the emergency department were recruited prospectively. Clinical and Complete Rockall score (RS), Glascow-Blatchford score (GBS), AIMS65, and T-Score were compared for endpoints: (1) need for endoscopic treatment, (2) hospitalization, (3) rebleeding, and (4) 30-day mortality. Results: A total of 469 patients were included. While 133 (28.0%) patients were discharged within 24 hours, 336 (72.0%) were hospitalized. The median length of hospital stay was 6.6 (0.0-8.0) days. Endoscopic treatment and transfusion were required in 109 (23.0%) and 255 (54.0%) patients, respectively. Rebleeding was observed in 36 (8.0%) patients. The 30-day mortality rate was 11.0 %. Complete Rockall score was superior among all risk scores regarding the prediction of the need for endoscopic treatment (AUC: 0.707, p

Publisher

Journal of Health Sciences and Medicine

Subject

General Medicine

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