Are AIMS65 and glasgow-blatchford scores useful in predicting health costs in patients admitted to emergency department with acute upper gastrointestinal bleeding: a prospective and observational study

Authors : Hayrullah YÖNAK, Serdar ÖZDEMİR, Kamil KOKULU, Hatice Şeyma AKÇA, Mehmet Muzaffer İSLAM, Abdullah ALGIN, Murad YUNUSOV, Serkan Emre EROĞLU

Pages : 326-330

View : 123 | Download : 9

Publication Date : 2021-05-01

Article Type : Research Paper

Abstract :Objective We aimed to investigate the use and superiority of AIMS65 insert ignore into journalissuearticles values(Albumin, INR, Alteration in mental status, Systolic blood pressure, age); and Glasgow-Blatchford scores in predicting hospital health costs in patients admitted to emergency department with upper gastrointestinal bleeding. Methods Patients above the age of 18 who were admitted to the Emergency Department of Umraniye Training and Research Hospital between 01.06.2018 and 31.05.2019, who were diagnosed with upper gastrointestinal bleeding were included in the study. Patients’ calculations of AIMS65 and Glasgow-Blatchford Bleeding scores insert ignore into journalissuearticles values(GBS); were recorded. Pearson’s Chi-square test was used and statistical significance was assessed. Results Out of 151 patients included in the study, 109 insert ignore into journalissuearticles values(72.2%); were male. Of the patients 2insert ignore into journalissuearticles values(1.3%); were discharged from the emergency department and 7 insert ignore into journalissuearticles values(4.6%); were exitus. According to AIMS65 risk scoring, costs of emergency department and non-emergency clinics and total clinical costs were higher in high risk group compared to the low risk group insert ignore into journalissuearticles values(p=0.007, p=0.007 and p=0.003 respectively);. The costs of emergency department and non-emergency clinic and total costs were found statistically significantly different between GBS groups insert ignore into journalissuearticles values(p<0.001, p=0.019, and p=0.001 respectively);. Conclusion AIMS65 risk score and GBS have been revealed to be useful in predicting the costs of emergency department and non-emergency clinics and total clinical costs for patients with upper gastrointestinal bleeding. However, the usefulness of GBS in predicting possible costs according to risk score of the patient could not be revealed.
Keywords : Emergency department, AIMS65, Glasgow Blatchford Bleeding score, health cost

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