Comparison of AIMS65 and rockall scoring systems for predicting mortality in patients with upper gastrointestinal system hemorrhage
Comparison of AIMS65 and rockall scoring systems for predicting mortality in patients with upper gastrointestinal system hemorrhage
Aim: Acute upper gastrointestinal system hemorrhage is a common and life-threatening condition, and its mortality may reach 10%despite developing medical facilities. In this study, we aimed to compare the efficacy of the AIMS65 risk scoring and Rockall scoringin the non-variceal upper gastrointestinal hemorrhage patients and investigate the relationship between C-reactive protein/albuminratio and these scoring systems.Materials and Methods: Forty-two inpatients diagnosed with upper gastrointestinal system hemorrhage in our hospital’s InternalMedicine Department between January 2018 and July 2018 included to study. For each patient, AIMS65 scoring according to the firstevaluation results in the emergency department and Rockall scoring after the endoscopy were performed.Results: Mortality was observed in 2 (4.8%) patients. Both scoring systems were not statistically significant in determining the needfor transfusion and predicting the hospitalization duration. The mean C-reactive protein/albumin ratio of the patients was found tobe 0.94 (0.48-77.83), and C-reactive protein/albumin levels were higher in patients with high AIMS65 score (p=0.005).Conclusion: Upper gastrointestinal hemorrhage is a common emergency problem, and it constitutes 80% of all gastrointestinalsystem hemorrhages. In our study, the C-reactive protein/albumin ratio was consistent with the AIMS65 score and suggested thatit could be a parameter that could be used in patients with upper gastrointestinal system hemorrhage, but more extensive studiesare needed on this subject.
___
- 1. Lam KL, Wong JC, Lau JY. Pharmacological treatment
in upper gastrointestinal bleeding. Curr Treat Options
Gastroenterol 2015;13:369-76.
- 2. Mungan Z. Üst gastrointestinal sistem kanamaları. In:
Ökten A, ed. Gastroenterohepatoloji. İstanbul: Nobel Tıp
Kitabevleri, 2001; 75-88.
- 3. Rockey DC. Causes of upper gastrointestinal bleeding in
adults 2018. Available from: https://www.uptodate.com/
contents/causes-of-upper-gastrointestinal-bleeding-inadults.
Access date: 20.04.2019
- 4. Yamada T. Handbook of Gastroenterology. 4th edition ed.
Philadelphia: Lippincott Williams & Wilkins; 2002.
- 5. Rockall T. Risk scoring in acute upper gastrointestinal
hemorrhage. Dig Liver Dis 2006;38:10-1.
- 6. Kim BJ, Park MK, Kim S-J, et al. Comparison of scoring
systems for the prediction of outcomes in patients with
nonvariceal upper gastrointestinal bleeding: a prospective
study. Dig Dis Sci 2009;54:2523.
- 7. Vreeburg E, Terwee C, Snel P, et al. Validation of the Rockall
risk scoring system in upper gastrointestinal bleeding. Gut
1999;44:331-5.
- 8. Saltzman JR, Tabak YP, Hyett BH, et al. A simple risk score
accurately predicts in-hospital mortality, length of stay,
and cost in acute upper GI bleeding. Gastrointest Endosc
2011;74:1215-24.
- 9. Günşar F, Akarca U, Yönetçi N, et al. Üst gastrointestinal
sistem kanamalı 502 hastanın değerlendirilmesi. Turk J
Gastroenterol. 1997;8:188-93.
- 10. Kaplan RC, Heckbert SR, Psaty BM. Risk factors for
hospitalized upper or lower gastrointestinal tract bleeding
in treated hypertensives. Prev Med 2002;34:455-62.
- 11. Dicu D, Pop F, Ionescu D, et al. Comparison of risk
scoring systems in predicting clinical outcome at upper
gastrointestinal bleeding patients in an emergency unit. Am
J Emerg Med 2013;31:94-9.
- 12. Köseoglu Z, Kara B, Akin MS, et al. Evaluation of 364 Cases
with Non-Variceal Gastrointestinal System Bleeding.
Eurasian J Emerg Med 2011;10:165.
- 13. Cheng D, Lu Y, Teller T, et al. A modified Glasgow Blatchford
Score improves risk stratification in upper gastrointestinal
bleed: a prospective comparison of scoring systems.
Aliment Pharmacol Ther 2012;36:782-9.
- 14. Zargar S, Javid G, Khan B, et al. Pantoprazole infusion as
adjuvant therapy to endoscopic treatment in patients with
peptic ulcer bleeding: Prospective randomized controlled
trial. J Gastroenterol Hepatol 2006;21:716–21.
- 15. Kayaçetin E, Polat H. Üst gastrointestinal sistem kanamaları:
52 vakanın incelenmesi. Genel Tıp Derg 2003;13:119-22.
- 16. Stanley AJ, Dalton HR, Blatchford O, et al. Multicentre
comparison of the Glasgow Blatchford and Rockall
scores in the prediction of clinical end-points after upper gastrointestinal hemorrhage. Aliment Pharmacol Ther
2011;34:470-5.
- 17. Kaplan M, Ates I, Akpinar MY, et al. Predictive value of
C-reactive protein/albumin ratio in acute pancreatitis.
Hepatobiliary Pancreat Dis Int 2017;16:424-30.
- 18. Ge X, Cao Y, Wang H, et al. Diagnostic accuracy of the
postoperative ratio of C-reactive protein to albumin for
complications after colorectal surgery. World J Surg Oncol
2017;15:15.
- 19. Kim MH, Ahn JY, Song JE, et al. The C-reactive protein/
albumin ratio as an independent predictor of mortality in
patients with severe sepsis or septic shock treated with
early goal-directed therapy. PloS One 2015;10:e0132109.