Comparison of risk scores in upper gastrointestinal bleeding in western India: A prospective analysis

Autor: Pravin Rathi, Shubham Jain, Nikhil Sonthalia, Sanjay Chandnani, Qais Contractor, Suhas Udgirkar, Samit S Jain, Anupam Kumar Singh
Rok vydání: 2019
Předmět:
Zdroj: Indian Journal of Gastroenterology. 38:117-127
ISSN: 0975-0711
0254-8860
DOI: 10.1007/s12664-019-00951-w
Popis: To study the upper gastrointestinal bleeding (UGIB) characteristics and to validate the Rockall and Glasgow-Blatchford scores (GBS), Progetto Nazionale Emorragica Digestiva (PNED) and albumin, international normalized ratio (INR), mental status, systolic blood pressure, and age > 65 (AIMS65) risk scores in predicting outcomes in patients with UGIB. Three hundred subjects with hematemesis and/or melena were prospectively enrolled and followed up for 30 days. All patients were assessed by hematological investigations, imaging, and endoscopy and risk scores were calculated. The mean age was 43.5 ± 17.2 years, and 207 (69%) were males. Hematemesis was the most common presentation (94%). Variceal bleeding was the most common etiology (47.7%). Thirty patients died (10%) and 50 had rebleeding (16.7%). On univariate analysis, serum albumin ≤ 2.7 gm% (p = 0.008), Glasgow Coma scale ≤ 13.9 (p = 0.001), serum bilirubin > 3 mg/dL (p = 0.004), serum bicarbonate ≤ 15.7 mEq/L (p = 0.001), systolic blood pressure 0 was significant while score of
Databáze: OpenAIRE
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