Investigation of the Relationship Between Blood Pressure Index and Prognosis in Gastrointestinal Bleeding

Authors : Emine Sarcan, Ahmet Burak Erdem, Hamdi Haluk Çalı, Cemil Kavalcı

Pages : 9-17

Doi:10.56728/dustad.1598104

View : 42 | Download : 19

Publication Date : 2025-06-26

Article Type : Research Paper

Abstract :Gastrointestinal bleeding is a significant cause of hospital admissions, with upper gastrointestinal bleeding (UGIB) in particular being associated with high mortality rates. This study aimed to evaluate the prognostic value and impact on mortality of a new easily calculable parameter in the emergency department: the Blood Pressure Index (BPI). This retrospective, single-centre study, it included patients over 18 years of age who presented to a tertiary care emergency department between September 1, 2023, and September 1, 2024, with symptoms such as hematemesis, melena, syncope, or haematochezia and underwent endoscopy. The following were recorded: sociodemographic characteristics, vital signs, laboratory parameters, endoscopic findings, Glasgow-Blatchford score, BPI, transfusion needs, hospitalization status, and 30-day mortality outcomes. At the end of 30 days, 92.2% (n=163) of the patients survived, while 7.8% (n=19) had died. No statistically significant relationship was found between BPI and mortality (p=0.793). However, the Glasgow-Blatchford score and its parameters, including hemoglobin, urea, and albumin levels, showed significant differences between the survivor and non-survivor groups (p<0.001). There remains a need for simple and rapid parameters to predict mortality in UGIB. Our findings suggest that BPI is not suitable for this purpose, whereas the Glasgow-Blatchford Score continues to be reliable.
Keywords : üst gastrointeninal kanama, kan basıncı indeksi, klinik prognoz, mortalite

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