Risk Markers for Mortality in Hemodynamically Stable Patients Admitted to the Emergency Department with a Prediagnosis of Upper Gastrointestinal Bleeding

Authors : Emel ALTINTAŞ, Serdal ATEŞ, Murat ONGAR, Ali Kaan ATAMAN, İlyas TENLİK, Levent FİLİK

Pages : 378-384

Doi:10.33631/sabd.1294141

View : 48 | Download : 74

Publication Date : 2023-09-21

Article Type : Research Paper

Abstract :Aim: The aim of this study is to investigate the changes in hemoglobin levels in hemodynamically stable patients admitted to the emergency department with a prediagnosis of upper GI bleeding. Material and Methods: This study consisted of patients aged over 18 years who applied to the emergency department of Ankara Training and Research Hospital and underwent endoscopy with a prediagnosis of upper GI bleeding between January 1st, 2017, and March 1st, 2020. The patients’ demographic data, laboratory parameters, Glasgow-Blatchford and Rockall scores, endoscopy results, and 28-day mortality data were recorded. Results: The study sample consisted of 120 patients with a mean age of 62.0 ± 20.9 years. No significant difference was detected in the amount or percentage of change in patients\` hemoglobin levels between the two measurements performed at admission and within 3-6 hours. insert ignore into journalissuearticles values(insert ignore into journalissuearticles values(0.6insert ignore into journalissuearticles values(-5,6%);, 0.4insert ignore into journalissuearticles values(-5,3%);, p>0.05);); The most common endoscopic finding was a peptic ulcer, which was detected in 64 insert ignore into journalissuearticles values(53.3%); patients. The multivariate regression analysis revealed that age insert ignore into journalissuearticles values(insert ignore into journalissuearticles values(Odds Ratio insert ignore into journalissuearticles values(OR); = 1.13, confidence interval insert ignore into journalissuearticles values(CI); 95%: 1.03–1.31, p = 0.0031);); and hypertension insert ignore into journalissuearticles values(OR = 11.45, CI 95%: 1.80–138.88, p = 0.021); were independent risk factors for 28-day mortality. Conclusion: No significant difference was detected in the amount or percentage of change in hemoglobin levels of hemodynamically stable patients with a prediagnosis of upper GI bleeding between the two measurements performed at admission and within 3-6 hours. Older age and hypertension were determined as the risk factors that predicted 28-day mortality in this patient group.
Keywords : Üst gastrointestinal kanama, mortalite, risk belirteçleri, acil tıp