H3B2 Scoring Validation and Comparing of the Other Scoring Systems in Patients with Upper Gastrointestinal Bleeding: A Retrospective Study

Abstract

Objective:We had validation of H3B2 scoring on Turkish patients in this study. In addition, it was compared with Glasgow-Blatchford and AIMS65 scoring.Method:This study was conducted retrospectively and single centered. It was continued by scanning of tertial education hospital datum in 07-2021 to 07-2022. Patients were the adults who was made endoscopic intervention during initial 24 hours. Glasgow-Blatchford, AIMS65 and H3B2 scoring were calculated according to initial parameters.Results:The study included 116 patients. Median age was 60 (45,53) years. H3B2, AIMS65 and Glasgow-Blatchford scoring were significantly higher in non-survivor group than survivor group (p=0.005, <0.001, 0.013. respectively). With the addition of lactate and albumin to H3B2, the area under the curve value reached 0.910 and gained a stronger predictive ability.Conclusion:H3B2 was successful in predicting short-term mortality in Turkish patients, we recommend adding lactate and albumin to the H3B2 for stronger predictivity.

Keywords

• aims65
• glasgow-blatchford
• h3b2 scoring
• mortality
• upper gastrointestinal bleeding