A COMPARISON OF THE GLASGOW-BLATCHFORD SCORE AND  PRE - ENDOSCOPİC ROCKALL SCORE SYSTEMS TO PREDICT CLINICAL OUTCOMES IN PATIENTS WITH UPPER GASTROINTESTINAL BLEEDING

Vehbi ÖZAYDIN; Alev ECEVİZ; Fatma SARI DOĞAN

Makale detayları

A COMPARISON OF THE GLASGOW-BLATCHFORD SCORE AND PRE - ENDOSCOPİC ROCKALL SCORE SYSTEMS TO PREDICT CLINICAL OUTCOMES IN PATIENTS WITH UPPER GASTROINTESTINAL BLEEDING

Yazarlar:

Vehbi ÖZAYDIN | Alev ECEVİZ | Fatma SARI DOĞAN

Yayıncı:

Acil Tıp Uzmanları Derneği

Ana Başlıklar:

Hastalıklar

Dergi:

Eurasian Journal of Critical Care 2021 Vol.3 Issue 3, pp.109-112

Belge Tipi:

Makale

Yayın Tarihi:

12/2021

Belge Dili:

İngilizce

Document ID (Org No.):

2000422014

eISSN:

2667-8721

Özet:

 

Objectıve: Acute upper gastrointestinal system  bleeding in patients presenting at the Emergency Department  is a significant cause of morbidity and mortality. Different scoring systems have been developed for the evaluation in emergency department of patients with  gastrointestinal system  bleeding. Emergency endoscopy may not be possible in patients presenting to the emergency department with gastrointestinal bleeding . The aim of this study was to compare  pre – endoscopic scoring systems  (Like the Glasgow Blatchford Score  and the  pre -endoscopic Rockall  scoring systems )  in patients presenting at the emergency department with upper gastrointestinal system  bleeding, to determine high-risk patients and examine the efficacy of these systems in predicting 30-day mortality.  
Method: This prospective study included patients aged >18 years who presented at the  Emergency department  of  XXX  Training and Research Hospital between January 2014 and December 2014
Results: The study included a total of 101 cases with a mean age of 65.62 years (range, 19-97 years). Melena was determined in 45 (44.6%) patients, hematochezia in 25 (24.8%), hematemesis in 26 (25.7%), diarrhea and abdominal pain in 7 (6.9%) and syncope in 1 (1.0%).  The mean Blatchford score of the patients was 10.56±3.75 (range, 3-19). According to this scoring system, 6 (5.9%) patients were at moderate risk, 18 (17.9%) at high risk, and 77 (76.2%) at very high risk. The mean pre – endoscopic Rockall score was 3.11±2.37 (range, 0-9). According to this scoring system, 49 (48.5%) patients were at low risk, 22 (21.8%) at moderate risk, and 30 (29.7%) at high risk. 
Of the 49 cases identified as low risk with the pre- endoscopic Rockall classification, 4 were classified as moderate risk, 14 as high risk, and 31 as very high risk using the Blatchford scoring system. Of the 22 cases identified as moderate risk with the pre- endoscopic Rockall classification, 1 was classified as moderate risk, 2 as high risk, and 19 as very high risk using the Blatchford scoring system. Of the 30 cases identified as high risk with the pre – endoscopic  Rockall classification, 1 was classified as moderate risk, 2 as high risk, and 27 as very high risk using the Blatchford scoring system. The differences between the two scoring systems were determined to be statistically significant. 
No statistically significant difference was determined between the mortality rates of cases according to the Blatchford scoring (p>0.05). The difference between the mortality rates of the cases according to the  pre – endoscopic  Rockall scoring was determined to be statistically significant (p=0.001, p<0.01). The mortality rate of patients at high risk according to the pre – endoscopic  Rockall scoring was determined to be higher. The difference between the mortality rates of the cases at high risk according to the pre- endoscopic Rockall scoring was determined to be statistically significant (p=0.001, p<0.01). The risk of mortality was determined to be 6.022-fold greater in cases at high risk according to the pe - endoscopic Rockall scoring. The odds value for pre- endoscopic  Rockall scoring was 6.022 (95% CI: 2.148-16.882). 
Conclusion: The Blatchford and pre- endoscopic Rockall scoring systems were not seen to be consistent with each other and in the prediction of mortality, pre- endoscopic  Rockall scoring was determined to be better.

Makale detayları

A COMPARISON OF THE GLASGOW-BLATCHFORD SCORE AND PRE - ENDOSCOPİC ROCKALL SCORE SYSTEMS TO PREDICT CLINICAL OUTCOMES IN PATIENTS WITH UPPER GASTROINTESTINAL BLEEDING

Yazarlar: Vehbi ÖZAYDIN | Alev ECEVİZ | Fatma SARI DOĞAN

Yayıncı: Acil Tıp Uzmanları Derneği

Ana Başlıklar: Hastalıklar

Dergi: Eurasian Journal of Critical Care 2021 Vol.3 Issue 3, pp.109-112

Belge Tipi: Makale

Yayın Tarihi: 12/2021

Belge Dili: İngilizce

Document ID (Org No.): 2000422014

eISSN: 2667-8721

Sayı

Yazarlar:

Vehbi ÖZAYDIN | Alev ECEVİZ | Fatma SARI DOĞAN

Yayıncı:

Acil Tıp Uzmanları Derneği

Ana Başlıklar:

Hastalıklar

Dergi:

Eurasian Journal of Critical Care 2021 Vol.3 Issue 3, pp.109-112

Belge Tipi:

Makale

Yayın Tarihi:

12/2021

Belge Dili:

İngilizce

Document ID (Org No.):

2000422014

eISSN:

2667-8721