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

Abstract

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. Material 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

Keywords

• upper gastrointestinal hemorrhage
• rockall score
• aims 65
• mortality
• üst gastrointesinal kanama
• rockall skoru
• aims65 skoru
• mortalite