Analysis of the patients with nonvariceal upper gastrointestinal bleeding and comparison of Rockall and Glasgow-Blatchford scores

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dc.authorid0000-0001-7306-5233en_US
dc.authorid0000-0002-1351-8832en_US
dc.authorid0000-0001-7026-9353en_US
dc.contributor.authorAktaş, Gülali
dc.contributor.authorUstaoğlu, Müge
dc.contributor.authorBakır, Tülay
dc.contributor.authorAslan, Rahmi
dc.contributor.authorGören, Fikret
dc.contributor.authorBektaş, Ahmet
dc.date.accessioned2023-08-17T09:43:54Z
dc.date.available2023-08-17T09:43:54Z
dc.date.issued2022en_US
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground Nonvariceal upper gastrointestinal bleeding (UGB) has important morbidity and mortality. Predicting high-risk patients for mortality and rebleeding is necessary for a treatment plan. In the present study, we aimed to define the epidemiological and etiological characteristics of patients presenting with nonvariceal UGB and to observe mortality and morbidity rates. We also aimed to compare Rockall and Glasgow-Blatchford scoring systems in predicting rebleeding and mortality. Methods Subjects presenting with nonvariceal UGB over a 3-year period were included. Demographic characteristics, symptoms, and signs on physical examination, laboratory data, endoscopic signs and diagnosis, interventions during hospitalization and follow-up period were recorded. Glasgow-Blatchford and Rockall scores were calculated for every participant at the first day of the admission. Results A total of 709 patients were enrolled in the study. A total of 490 of them (69.1%) were men. The mean age of the women and men was 60.7 +/- 1.2 and 58.6 +/- 0.7 years, respectively. Melena was the most common presenting symptom. Duodenal ulcer (31%), gastric ulcer (20.7%), and erosive disease (17.6%) were the most common causes of bleeding. History of use of aspirin and/or nonsteroidal anti-inflammatory drug use were present in 63.7% of the subjects. All patients were followed up for 30th-day mortality. Overall, rebleeding and mortality rates were 11% and 7%, respectively. A Rockall score greater than 6 was the most important predictor of mortality (odds ratio:39.1) and rebleeding (odds ratio:4.7). Conclusion Nonvariceal UGB patients with a Rockall score greater than 6 should undergo aggressive endoscopic treatment and inpatient care.en_US
dc.identifier.citationAktas, G., Ustaoglu, M., Bakir, T., Aslan, R., Goren, F., & Bektas, A. (2022). Analysis of the patients with nonvariceal upper gastrointestinal bleeding and comparison of Rockall and Glasgow-Blatchford scores. Indian Journal of Gastroenterology, 41(6), 576-582.en_US
dc.identifier.doi10.1007/s12664-022-01290-z
dc.identifier.endpage582en_US
dc.identifier.issn0254-8860
dc.identifier.issn0975-0711
dc.identifier.issue6en_US
dc.identifier.pmid36571703en_US
dc.identifier.scopus2-s2.0-85143592542en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage576en_US
dc.identifier.urihttp://dx.doi.org/10.1007/s12664-022-01290-z
dc.identifier.urihttps://hdl.handle.net/20.500.12491/11560
dc.identifier.volume41en_US
dc.identifier.wosWOS:000904025900001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAktaş, Gülali
dc.language.isoenen_US
dc.publisherSpringer Indiaen_US
dc.relation.ispartofIndian Journal of Gastroenterologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAspirinen_US
dc.subjectDuodenal Ulceren_US
dc.subjectErosive Diseaseen_US
dc.subjectGastric Ulceren_US
dc.subjectGlasgow-Blatchford Scoreen_US
dc.subjectMortalityen_US
dc.titleAnalysis of the patients with nonvariceal upper gastrointestinal bleeding and comparison of Rockall and Glasgow-Blatchford scoresen_US
dc.typeArticleen_US

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