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مقایسه ارزش امتیاز Glasgow Blatchford با امتیاز AIMS65 در پیش بینی بروز مرگ در بیماران با خونریزی حاد گوارشی فوقانی

حاجوی, ناصر ، عیسی زاده فر, خاطره ، حسینی, محمد حسین ، حبیب زاده, افشین ، یوسفی اردبیلی, الهام (1398) مقایسه ارزش امتیاز Glasgow Blatchford با امتیاز AIMS65 در پیش بینی بروز مرگ در بیماران با خونریزی حاد گوارشی فوقانی. Advances in Bioscience and Clinical Medicine ــ 7 (4). ص.ص.17-21. شاپا 2203-1413

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عنوان انگليسی

Comparison of Glasgow Blatchford Score and AIMS65 in Predicting Mortality in Patients with Upper Gastrointestinal Bleeding

خلاصه انگلیسی

Introduction: Upper gastrointestinal bleeding (UGIB) is the most common cause of emergency admission in gastrointestinal disease. UGIB could accompany with adverse events if not treated timely. Different scoring systems have been suggested for diagnosing these patients, In this study we aimed to compare the predictive value of two scoring systems AIMS65 and Glasgow Blatchfors scale (GBS) in patients with UGIB. Methods: In this cross-sectional study, 153 patients (71.9% male with mean age of 56.72±21.64 years) with acute UGIB between April 2017 and September 2018 were included. Demographic findings, past medical history, laboratory findings, AMIS65 and GBS score, as well as, need for urgent endoscopy, transfusion and mortality were recorded. Both methods value in predicting the outcomes were measured using ROC curves. Results and Conclusion: Urgent endoscopy was performed in 44.4%. The most common finding was peptic ulcer with mostly clean base type. Rebleeding occurred in 15%, need for transfusion was in 44.4% and mortality rate was 5.2%. AIMS65 compared to GBS was superior in predicting mortality (AUC of 0.947 vs. 0.80) but was inferior compared to GBS in predicting need for transfusion (0.849 vs. 0.947). None of the systems could predict the need for urgent endoscopy. AIMS65 with cut off 2 and 0 and GBS with cut off of 12 and 8 could predict mortality and need for transfusion. GBS seems a better system in predicting the need for blood transfusion, while AIMS65 is better system for predicting in-hospital mortality in patients with UGIB.

نوع سند :مقاله
زبان سند : انگلیسی
نویسنده اول :ناصر حاجوی
نویسنده :خاطره عیسی زاده فر
نویسنده مسئول :محمد حسین حسینی
نویسنده :افشین حبیب زاده
نویسنده :الهام یوسفی اردبیلی
ضریب تاثیر و نمایه مجلات:Indexed in: ProQuest, Google Scholar
کلیدواژه ها (انگلیسی):Upper Gastrointestinal Bleeding, Aims65, Glasgow Blatchford Scale, Mortality, Transfusion
موضوعات :WI سیستم گوارشی
بخش های دانشگاهی :دانشكده پزشكي > گروه اطفال ، پزشکی اجتماعی
دانشكده پزشكي > گروه داخلی ، قلب ، عفونی
کد شناسایی :12678
ارائه شده توسط : دکتر خاطره عیسی زاده فر
ارائه شده در تاریخ :20 بهمن 1398 10:34
آخرین تغییر :20 اسفند 1402 11:08

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