Outcome of upper gastrointestinal hemorrhage according to the bleed risk classification : a two-year prospective survey
المؤلفون المشاركون
Salim Zadeh, Ahmad
Yazdani, Vida
Ghadimi, Hadi
Habibi, Ghulam Rida
Salimi, Javad
المصدر
العدد
المجلد 29، العدد 1 (31 مارس/آذار 2007)، ص ص. 1-9، 9ص.
الناشر
تاريخ النشر
2007-03-31
دولة النشر
البحرين
عدد الصفحات
9
التخصصات الرئيسية
الموضوعات
الملخص EN
Objective: Upper gastrointestinal bleeding (UGIB) is a common and serious medical emergency.
The aim of this study was to predict UGIB patients' outcome according to a risk scoring system, independent of endoscopic findings, introduced by Kollef et al (BLEED: ongoing bleeding, elevated prothrombin time, erratic mental status, and unstable co-morbid disease).
Design: Prospective study.
Setting: Sina university hospital.
Method: We studied all patients who presented with UGIB during 2000 to 2002.
Patients meeting the BLEED criteria at their initial assessment were classified as highrisk (71) and all others were categorized as low-risk (50).
In-hospital complications were defined as recurrent UGIB, surgery to control the source of hemorrhage and hospital mortality.
Results: There were 101 patients, aged 55.7±20.8 years.
Re-bleeding, surgery and death occurred in 21 (20.8%), 28 (27.7%) and 14 (13.9%) of the patients, respectively.
Therapeutic and diagnostic upper gastrointestinal endoscopy were performed in 7 (7%) and 83 (82.2%) of patients, respectively.
Seventy percent were categorized as high-risk.
There was significant difference in development of in-hospital complications, and death when considered individually, between the high and low-risk patients, but not in the rate of re-bleeding, length of hospital stay and transfused units of packed red blood cells.
High-risk patients needed surgery more often than the lowrisk cases but the difference was borderline significant (p=0.051).
Low systolic blood pressure and elevated prothrombin time were independent predictors of in-hospital complications among BLEED criteria.
Conclusion: BLEED classification was capable of predicting in-hospital complications, especially mortality.
It is, therefore, a helpful triage tool in centers where urgent endoscopy is hardly available.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Salimi, Javad& Salim Zadeh, Ahmad& Yazdani, Vida& Ghadimi, Hadi& Habibi, Ghulam Rida. 2007. Outcome of upper gastrointestinal hemorrhage according to the bleed risk classification : a two-year prospective survey. Bahrain Medical Bulletin،Vol. 29, no. 1, pp.1-9.
https://search.emarefa.net/detail/BIM-603391
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Salimi, Javad…[et al.]. Outcome of upper gastrointestinal hemorrhage according to the bleed risk classification : a two-year prospective survey. Bahrain Medical Bulletin Vol. 29, no. 1 (Mar. 2007), pp.1-9.
https://search.emarefa.net/detail/BIM-603391
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Salimi, Javad& Salim Zadeh, Ahmad& Yazdani, Vida& Ghadimi, Hadi& Habibi, Ghulam Rida. Outcome of upper gastrointestinal hemorrhage according to the bleed risk classification : a two-year prospective survey. Bahrain Medical Bulletin. 2007. Vol. 29, no. 1, pp.1-9.
https://search.emarefa.net/detail/BIM-603391
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 8-9
رقم السجل
BIM-603391
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر