Title: Predictors of Outcome in Patients with Upper Non Variceal Gastrointestinal Bleeding in Emergency Department
Authors: Yasmin Nouh Shereif, Abeer Mahmoud Ali Ibrahim, Asmaa Mohamed Alkafafy, Yehia Mostafa Ghanem
DOI: https://dx.doi.org/10.18535/jmscr/v8i8.14
Abstract
Acute upper gastrointestinal bleeding is a life threatening emergency. Modified Glasgow Blatchford score is the current scoring system to evaluate patients with acute UGIB. The purpose of this study was to confirm value of Modified Blatchford scoring system as a predictor of outcome as regard patient’s mortality, their need for ICU, duration of hospitalization and need for endoscopic intervention and compare its sensitivity and specificity with and without adding serum lactate level in patients presenting with upper non variceal gastrointestinal bleeding upon admission to the emergency department.
At presentation,51% of patients with low lactate level were classified as high risk Blatchford score while 87.8% of patients with high lactate level were classified as high risk score
2 hours after resuscitation, all patients with high lactate level were classified as high risk.
After 48 hours, mortality rate and ICU admission were significantly higher in group 2 than in group 1.
Keywords: Upper Non Variceal Gastrointestinal Bleeding, Modified Glasgow Blatchford Scoring System, lactate.
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