View : 260 Download: 0
Clinical outcomes of acute upper gastrointestinal bleeding according to the risk indicated by Glasgow-Blatchford risk score-computed tomography score in the emergency room
- Title
- Clinical outcomes of acute upper gastrointestinal bleeding according to the risk indicated by Glasgow-Blatchford risk score-computed tomography score in the emergency room
- Authors
- Lee, Hyun Ae; Jung, Hye-Kyung; Kim, Tae Oh; Byeon, Ju-Ran; Jeong, Eui-Sun; Cho, Hyun-Ji; Tae, Chung Hyun; Moon, Chang Mo; Kim, Seong-Eun; Shim, Ki-Nam; Jung, Sung-Ae
- Ewha Authors
- 정성애; 정혜경; 심기남; 김성은; 문창모; 태정현; 변주란; 조현지
- SCOPUS Author ID
- 정성애; 정혜경; 심기남; 김성은; 문창모; 태정현; 변주란; 조현지
- Issue Date
- 2022
- Journal Title
- KOREAN JOURNAL OF INTERNAL MEDICINE
- ISSN
- 1226-3303
2005-6648
- Citation
- KOREAN JOURNAL OF INTERNAL MEDICINE vol. 37, no. 6, pp. 1176 - 1185
- Keywords
- Gastrointestinal hemorrhage; Upper gastrointestinal tract; Multidetector computed tomography; Risk assess-ment
- Publisher
- KOREAN ASSOC INTERNAL MEDICINE
- Indexed
- SCIE; KCI
- Document Type
- Article
- Abstract
- Background/Aims: Acute upper gastrointestinal (UGI) bleeding is a significant emergency situation with a mortality rate of 2% to 10%. Therefore, initial risk stratification is important for proper management. We aimed to evaluate the role of con-trast-enhanced multidetector computed tomography (MDCT) for risk stratification in patients with acute UGI bleeding in the emergency room (ER). Methods: This retrospective study included patients with UGI bleeding in the ER. Glasgow-Blatchford risk score-computed tomography (GBS-CT) was assessed using a combination of GBS and the MDCT scan scoring system.Results: Of the 297 patients with UGI bleeding, 124 (41.8%) underwent abdominal MDCT. Among them, 90.3% were clas-sified as high-risk by GBS, and five patients died (4.0%). Rebleeding occurred in nine patients (7.3%). The high-risk GBS-CT group had significantly higher in-hospital mortality (10.5% in high-risk vs. 1.4% in moderate risk vs. 0% in low-risk, p = 0.049), transfusion amount (p < 0.001), and endoscopic hemostasis (p < 0.001) compared to the moderate-and low-risk groups.Conclusions: Adding MDCT scans to the existing validated prognosis model when predicting the risk of UGI bleeding in patients in the ER plays a significant role in determining in-hospital mortality, transfusions, and the need for endoscopic he-mostasis.
- DOI
- 10.3904/kjim.2022.099
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
- Files in This Item:
There are no files associated with this item.
- Export
- RIS (EndNote)
- XLS (Excel)
- XML