Akademik Veri Yönetim Sistemi
Southern Clinics of Istanbul Eurasia, cilt.33, sa.4, ss.346-350, 2022 (Hakemli Dergi)
bjective: This study aims to examine the association between the Rockall, AIMS-65, and Glasgow Blatchford (GBS) scores to the presence of active bleeding during the endoscopy in patients who are admitted to the emergency department (ED) and suspected of upper gastrointestinal (GI) bleeding. Methods: The data of 337 patients who visited to the ED due to upper GI bleeding during the period determined for the study were included in the study and analyzed retrospectively. In this context, age, gender, comorbid disease, GIS bleeding scores results (GBS, Rockall and AIMS65, and endoscopy) of the patients were evaluated. Results: Active bleeding has detected in 21.3% of the patients. The GBS and Rockall scores of the patients with active bleeding have found to be high (p<0.05), and there was not an association found between the AIM65 score and the presence of active bleeding (p>0.05). The cutoff value for GBS has determined as 11.5. While the sensitivity at this value was 68.1%, the specificity was 63%. For the Rockall score, the cutoff value has found to be 3.5. While the sensitivity at this value was 50%, the specificity was 79.6%. The cutoff value for the AIMS65 score has found to be 1.5. While the sensitivity at this value was 36.1%, the specificity was 74%. Conclusion: The finding that most has been indicated the presence of active bleeding is GBS, followed by the Rockall score. AIMS65 score has been found insufficient for indicating active bleeding. New prospective studies are needed to confirm the usability of these scores in determining the presence of active bleeding.