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- Title
Prospective Comparison of the 3 Most Commonly Used Scoring Systems in Patients with Gastrointestinal Bleeding.
- Authors
ALATLI, Tufan; KOCAOĞLU, Salih
- Abstract
Objective: This study aimed to determine the most appropriate scoring system for the emergency department to facilitate the management of patients with gastrointestinal bleeding. Materials and Methods: Data were collected prospectively September’21-March’22 in the emergency department (ED). 117 adult patients were included. Endoscopic intervention, rebleeding, admission to the intensive care unit, and in-hospital death were recorded. Results: The patients median age was 75 years and 58.1% (n=68) of them were male. Of the patients, 21 were hospitalized in the intensive care unit and 85 in the ward (17.94-72.64%). All three scoring systems can determine the hospitalization place or discharge of patients with GI bleeding. A positive and significant correlation was found between Glasgow-Blatchford, AIMS-65 and length of hospitalization (p<0.05). In-hospital mortality developed in 15 (12.82%) of the patients. Rockall, Glasgow-Blatchford, and AIMS-65 scoring systems were found to be significant for mortality prediction (AUC= 0.745 - 0.777 - 0.851). Seventy-one (60.68%) of patients received ES transfusion, and the Rockall, Glasgow-Blatchford, and AIMS-65 scoring systems were found to be significant for the prediction of ES transfusion (AUC= 0.624 - 0.826 - 0.653). Rebleeding developed in 16 (13.67%) patients. Glasgow-Blatchford and AIMS-65 scoring systems were found to be significant for rebleeding (p= 0.03- 0.04). The Rockall classification was found to be insignificant (p=0.57). Conclusion: All scoring systems were successful in terms of management of patients with GI bleeding and survey estimation. The AIMS-65 scoring system stands out only in terms of rebleeding prediction. For this reason and it is more practical, we recommend the AIMS-65 scoring system for the emergency department.
- Subjects
DISEASE relapse; GASTROINTESTINAL hemorrhage treatment; INTENSIVE care units; LENGTH of stay in hospitals; HOSPITAL emergency services; ACADEMIC medical centers; CONFIDENCE intervals; GASTROINTESTINAL hemorrhage; RESEARCH methodology; ONE-way analysis of variance; PATIENTS; TREATMENT effectiveness; HOSPITAL admission &; discharge; HOSPITAL mortality; T-test (Statistics); COMPARATIVE studies; EMERGENCY medical services; DESCRIPTIVE statistics; PREDICTION models; ENDOSCOPIC gastrointestinal surgery; RECEIVER operating characteristic curves; DATA analysis software; LONGITUDINAL method; DISCHARGE planning; EVALUATION
- Publication
Balikesir Health Sciences Journal / Balıkesir Sağlık Bilimleri Dergisi, 2022, Vol 11, Issue 3, p426
- ISSN
2146-9601
- Publication type
Article
- DOI
10.53424/balikesirsbd.761145