Müge ÇARDAK HAKBİLEN, Hüseyin Cahit HALHALLI, Tuğçe KÖKSAL ŞİMŞEK, Hakan ÖZEROL, İlknur TINMAZ, Onur KARAKAYALI

Acil Servise Üst Gastrointestinal Sistem Kanaması Nedeniyle Başvuran Hastalarda Klinik Skorlama Sistemlerinin Hastanede Kalış Süresi, Transfüzyon İhtiyacı ve Yeniden Kanama Öngörüsünde Etkinliğinin Araştırılması, Retrospektif Gözlemsel Çalışma

Amaç: Üst gastrointestinal sistem (ÜGIS) kanamaları hayati tehlike oluşturabilen abdominal acildir. ÜGİS kanamalarına bağlı mortalite gelişebilecek hastaları belirlemek amaçlı çok sayıda skorlama sistemi üretilmiştir. Skorlama sistemlerinden Glasgow Blatchford skoru (GBS), Rockall skoru (RS) ve AİMS 65 skorunun hastanede kalış süresi, yeniden kanama görülmesi ve transfüzyon ihtiyacı öngörülerinde etkinliğinin belirlenmesi amaçlanmıştır. Gereç ve Yöntemler: Retrospektif olarak ÜGİS hemoraji ön tanısı ile acil servise başvuran ve hastaların arşiv dosyalarından ve epikriz bilgilerinden toplanan parametreler ve klinik skorlama sistemlerinin kayıt edilmesi ile yürütüldü. Bulgular: Doksan üç hastanın 63’ü (%67,7) erkekti. Dört hastanın (%4,3) yoğun bakım ihtiyacı mevcut olup, 4 hastada (%4,3) hastane içi mortalite gelişti. Üç aylık mortalite takibinde toplam 7 hastada (%7,5) mortalite gözlendi. Altı hastanın da (%6.5) 3 aylık takiplerinde tekrarlayan ÜGİS kanaması görüldü. Yoğun bakım ihtiyacını öngörmede AİMS 65 ve Rockall skorlarında istatistiksel anlamlı fark tespit edildi (p

Anahtar Kelimeler:

üst gastrointesinal kanama, Rockall skoru, AIMS65 skoru, mortalite

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

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,

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