Affiliation:
1. University Clinical Center Niš, Niš Clinic of Hematology, Allergology and Clinical Immunology + University of Niš, Faculty of Medicine, Niš
2. University Clinical Center Niš, Clinic of Hematology, Allergology and Clinical Immunology, Niš
Abstract
Introduction. Bleeding scoring systems are used for predicting the risk of a
specific primary outcome in a specific population.In this article, we
present scoring systems frequently used in internist practice. Bleeding
scoring systems for acute upper gastrointestinal bleeding. Are divided into
clinical, endoscopic,and combined scoring systems, according to the type of
variables included. Besides traditional systems (Rockall,
Glasgow-Blatchford), we primarily present clinical scoring systems used for
upper gastrointestinal bleeding. Bleeding scoring systems for patients with
atrial fibrillation on anticoagulant therapy. We refer to the most
significant scoring systems - ATRIA, HAS-BLED, and ORBIT. Since the
prognostic performance of the existing scoring systems is less than
satisfactory, medical organizations suggest they should be used for
recognizing patients who deserve close monitoring during anticoagulant
therapy. Bleeding scoring systems for patients with acute myocardial
infarction treated with percutaneous coronary intervention. ACUITY-HORIZONS
was proven to be superior to other scoring systems in predicting bleeding
within 30 days in patients with a myocardial infarction treated with
transradial percutaneous coronary intervention. Bleeding scoring systems for
bleeding disorders. Scoring systems enable the detection of bleeding
disorders before performing laboratory tests. Considering the frequency
severity of symptoms, newer systems have been developed for the pediatric
population and self-testing by modifying the original scoring system.
Conclusion. Although medical organizations encourage the implementation of
scoring systems in clinical practice, the development of newer and enhanced
existing systems requires a comprehensive approach and critical analysis of
the existing systems.
Publisher
National Library of Serbia