Prediction of In-Hospital Mortality in Patients Undergoing Endoscopy for Non-Variceal Upper Gastrointestinal Bleeding

Abstract

INTRODUCTION: The aim of this study is to investigate the parameters that may contribute to the prediction of in-hospital mortality in patients who were admitted to the emergency department with non-variceal upper gastrointestinal system (GI) bleeding and underwent endoscopy. METHODS: Patients with non-variceal upper GI bleeding who were admitted to the emergency department of our hospital between March 2019 and June 2021 were evaluated retrospectively. Surviving and deceased patients were compared. To predict mortality independently, logistic regression analysis was performed with parameters that were significant. RESULTS: It was shown that there was a relationship between low albumin and T score, older age, high LDH and higher white blood cell count, and mortality. In the ROC analysis, where the diagnostic accuracy of these five factors in predicting mortality was evaluated, the area under the curve was calculated as 0.84. DISCUSSION AND CONCLUSION: The evaluation of albumin, age, T score, white blood cell and LDH together may be helpful in predicting the in-hospital mortality of patients with non-variceal upper GI bleeding.

Keywords

• upper gastrointestinal bleeding
• mortality
• t score
• nomogram.