Upper Gastrointestinal Bleeding: A Comparative Analysis of Aims65, News+L, Rockall, and Gbs in Predicting in-Hospital Mortality

Remzi Çetinkaya; Mehmet Üstündağ; Murat Orak; Recep Dursun; Cahfer Güloğlu

Makale detayları

Upper Gastrointestinal Bleeding: A Comparative Analysis of Aims65, News+L, Rockall, and Gbs in Predicting in-Hospital Mortality

Yazarlar:

Remzi Çetinkaya | Mehmet Üstündağ | Murat Orak | Recep Dursun | Cahfer Güloğlu

Yayıncı:

Dicle University

Ana Başlıklar:

Tıp Eğitimi | Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Dicle Tıp Dergisi Vol.52 Issue 2, pp.207-217

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001348127

pISSN:

1300-2945

Anahtar kelimeler:

Özet:

 Background: Acute upper gastrointestinal GI bleeding is a common and potentially life-threatening emergency frequently seen in emergency departments. Early and accurate risk stratification is essential for guiding clinical management. This study aimed to assess the effectiveness of various clinical scoring systems and laboratory parameters in predicting in-hospital mortality in patients with upper GI bleeding. Methods: This retrospective study included patients aged 18 and older diagnosed with upper GI bleeding between January 1, 2016, and January 1, 2019. The Glasgow Blatchford Score GBS, Pre-endoscopic Rockall Score PRS, total Rockall Score, AIMS65, and NEWSL scores were calculated. Laboratory parameters were also analyzed for their association with mortality. Results: A total of 316 patients were included, with an in-hospital mortality rate of 13.3. Among the scoring systems, AIMS65 and NEWSL demonstrated higher predictive accuracy AUC for in-hospital mortality compared to PRS. GBS and total Rockall scores also performed better than PRS. Conclusion: AIMS65 and NEWSL scores were superior to PRS in predicting mortality. Additionally, low hemoglobin, elevated lactate, high neutrophil-to-lymphocyte NLR and platelet-to-lymphocyte PLR ratios, and increased urea-to-creatinine levels were associated with higher mortality risk.

 Background: Acute upper gastrointestinal GI bleeding is a common and potentially life-threatening emergency frequently seen in emergency departments. Early and accurate risk stratification is essential for guiding clinical management. This study aimed to assess the effectiveness of various clinical scoring systems and laboratory parameters in predicting in-hospital mortality in patients with upper GI bleeding. Methods: This retrospective study included patients aged 18 and older diagnosed with upper GI bleeding between January 1, 2016, and January 1, 2019. The Glasgow Blatchford Score GBS, Pre-endoscopic Rockall Score PRS, total Rockall Score, AIMS65, and NEWSL scores were calculated. Laboratory parameters were also analyzed for their association with mortality. Results: A total of 316 patients were included, with an in-hospital mortality rate of 13.3. Among the scoring systems, AIMS65 and NEWSL demonstrated higher predictive accuracy AUC for in-hospital mortality compared to PRS. GBS and total Rockall scores also performed better than PRS. Conclusion: AIMS65 and NEWSL scores were superior to PRS in predicting mortality. Additionally, low hemoglobin, elevated lactate, high neutrophil-to-lymphocyte NLR and platelet-to-lymphocyte PLR ratios, and increased urea-to-creatinine levels were associated with higher mortality risk.

 Background: Acute upper gastrointestinal GI bleeding is a common and potentially life-threatening emergency frequently seen in emergency departments. Early and accurate risk stratification is essential for guiding clinical management. This study aimed to assess the effectiveness of various clinical scoring systems and laboratory parameters in predicting in-hospital mortality in patients with upper GI bleeding. Methods: This retrospective study included patients aged 18 and older diagnosed with upper GI bleeding between January 1, 2016, and January 1, 2019. The Glasgow Blatchford Score GBS, Pre-endoscopic Rockall Score PRS, total Rockall Score, AIMS65, and NEWSL scores were calculated. Laboratory parameters were also analyzed for their association with mortality. Results: A total of 316 patients were included, with an in-hospital mortality rate of 13.3. Among the scoring systems, AIMS65 and NEWSL demonstrated higher predictive accuracy AUC for in-hospital mortality compared to PRS. GBS and total Rockall scores also performed better than PRS. Conclusion: AIMS65 and NEWSL scores were superior to PRS in predicting mortality. Additionally, low hemoglobin, elevated lactate, high neutrophil-to-lymphocyte NLR and platelet-to-lymphocyte PLR ratios, and increased urea-to-creatinine levels were associated with higher mortality risk.

 Background: Acute upper gastrointestinal GI bleeding is a common and potentially life-threatening emergency frequently seen in emergency departments. Early and accurate risk stratification is essential for guiding clinical management. This study aimed to assess the effectiveness of various clinical scoring systems and laboratory parameters in predicting in-hospital mortality in patients with upper GI bleeding. Methods: This retrospective study included patients aged 18 and older diagnosed with upper GI bleeding between January 1, 2016, and January 1, 2019. The Glasgow Blatchford Score GBS, Pre-endoscopic Rockall Score PRS, total Rockall Score, AIMS65, and NEWSL scores were calculated. Laboratory parameters were also analyzed for their association with mortality. Results: A total of 316 patients were included, with an in-hospital mortality rate of 13.3. Among the scoring systems, AIMS65 and NEWSL demonstrated higher predictive accuracy AUC for in-hospital mortality compared to PRS. GBS and total Rockall scores also performed better than PRS. Conclusion: AIMS65 and NEWSL scores were superior to PRS in predicting mortality. Additionally, low hemoglobin, elevated lactate, high neutrophil-to-lymphocyte NLR and platelet-to-lymphocyte PLR ratios, and increased urea-to-creatinine levels were associated with higher mortality risk.

Makale detayları

Upper Gastrointestinal Bleeding: A Comparative Analysis of Aims65, News+L, Rockall, and Gbs in Predicting in-Hospital Mortality

Yazarlar:

Remzi Çetinkaya | Mehmet Üstündağ | Murat Orak | Recep Dursun | Cahfer Güloğlu

Yayıncı:

Dicle University

Ana Başlıklar:

Tıp Eğitimi | Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Dicle Tıp Dergisi Vol.52 Issue 2, pp.207-217

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001348127

pISSN:

1300-2945

Upper gastrointestinal bleeding

Mortality Score

Endoscopy

Prognosis

Sayı

Makale detayları

Upper Gastrointestinal Bleeding: A Comparative Analysis of Aims65, News+L, Rockall, and Gbs in Predicting in-Hospital Mortality

Yazarlar: Remzi Çetinkaya | Mehmet Üstündağ | Murat Orak | Recep Dursun | Cahfer Güloğlu

Yayıncı: Dicle University

Ana Başlıklar: Tıp Eğitimi | Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi: Dicle Tıp Dergisi Vol.52 Issue 2, pp.207-217

Belge Tipi: Makale

Yayın Tarihi: 6/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001348127

pISSN: 1300-2945

Upper gastrointestinal bleeding

Mortality Score

Endoscopy

Prognosis

Sayı

Yazarlar:

Remzi Çetinkaya | Mehmet Üstündağ | Murat Orak | Recep Dursun | Cahfer Güloğlu

Yayıncı:

Dicle University

Ana Başlıklar:

Tıp Eğitimi | Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Dicle Tıp Dergisi Vol.52 Issue 2, pp.207-217

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001348127

pISSN:

1300-2945