Effectiveness of Clinical Scoring Systems in Duration of Hospital Stay, Transfusion Need and Prediction of Re-Bleeding in Patients Admitted to the Emergency Department for Upper Gastrointestinal System Bleeding Acil Servise Üst Gastrointestinal Sistem Kanaması Nedeniyle Başvuran Hastalarda Klinik Skorlama Sistemlerinin Hastanede Kalış Süresi, Transfüzyon İhtiyacı ve Yeniden Kanama Öngörüsünde Etkinliğinin Araştırılması, Retrospektif Gözlemsel Çalışma
Sakarya Medical Journal, cilt.12, sa.2, ss.255-262, 2022 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 12 Sayı: 2
- Basım Tarihi: 2022
- Doi Numarası: 10.31832/smj.1037148
- Dergi Adı: Sakarya Medical Journal
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.255-262
- Anahtar Kelimeler: AIMS 65, Mortality, Rockall score, Upper gastrointestinal hemorrhage
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
Objective Upper gastrointestinal system (UGIS) bleeding is a life-threatening abdominal emergency. Numerous scoring systems have been developed to identify patients who may develop mortality due to UGIS bleeding. We aimed to determine the effectiveness of the Glasgow Blatchford Score (GBS), Rockall score (RS), and AIMS 65 score in predicting the length of hospital stay, re-bleeding, and transfusion need. Materials and Methods It was carried out retrospectively by recording the parameters and clinical scoring systems collected from the archive files and epicrisis information of the patients with the pre-diagnosis of UGIS hemorrhage. Results Sixty-three (67.7%) of 93 patients were male. Four patients (4.3%) needed intensive care, and in-hospital mortality occurred in 4 (4.3%) patients. Mortality was observed in 7 patients (7.5%), and recurrent UGIS bleeding was observed in six patients (6.5%). A statistically significant difference was found in AIMS 65 and Rockall scores in predicting-intensive care needs (p<0.05). There was no statistically significant difference between clinical scoring systems in predicting in-hospital mortality and re-bleeding the UGIS at 3-month follow-up. A statistically significant difference was observed with the AIMS 65 score in predicting mortality at a 3-month follow-up (p<0.05). Conclusion While there was no statistically significant difference between GBS, RS, and AIMS 65 scores in predicting in-hospital mortality and 3-month re-bleeding, RS and AIMS 65 scores can be used to predict ICU need in the emergency department due to UCIS bleeding. The AIMS 65 score can also be used to predict 3-month mortality.