scholarly journals The risk factors for the recurrent upper gastrointestinal hemorrhage among acute peptic ulcer disease patients in Syria: A prospective cohort study

2022 ◽  
pp. 103252
Author(s):  
Sara Mona Bitar ◽  
Maen Moussa
Keyword(s):  
Risk Factors ◽  
Peptic Ulcer ◽  
Cohort Study ◽  
Peptic Ulcer Disease ◽  
Prospective Cohort Study ◽  
Gastrointestinal Hemorrhage ◽  
Prospective Cohort ◽  
Upper Gastrointestinal Hemorrhage ◽  
Ulcer Disease ◽  
Upper Gastrointestinal

scholarly journals COMPARISON OF NON-ENDOSCOPIC SCORES FOR THE PREDICTION OF OUTCOMES IN PATIENTS OF UPPER GASTROINTESTINAL BLEED IN AN EMERGENCY OF A TERTIARY CARE REFERRAL HOSPITAL: A PROSPECTIVE COHORT STUDY

2021 ◽  
Vol 58 (4) ◽  
pp. 534-540
Author(s):  
Anurag SACHAN ◽  
Deba Prasad DHIBAR ◽  
Ashish BHALLA ◽  
Ajay PRAKASH ◽  
Sunil TANEJA ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Cohort Study ◽  
Peptic Ulcer Disease ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Early Warning Score ◽  
Ulcer Disease ◽  
Gastrointestinal Bleed ◽  
Rockall Score ◽  
Upper Gastrointestinal

ABSTRACT BACKGROUND: Traditionally peptic ulcer disease was the most common cause of upper gastrointestinal (UGI) bleed but with the changing epidemiology; other etiologies of UGI bleed are emerging. Many scores have been described for predicting outcomes and the need for intervention in UGI bleed but prospective comparison among them is scarce. OBJECTIVE: This study was planned to determine the etiological pattern of UGI bleed and to compare Glasgow Blatchford score, Pre-Endoscopy Rockall score, AIMS65, and Modified Early Warning Score (MEWS) as predictors of outcome. METHODS: In this prospective cohort study 268 patients of UGI bleed were enrolled and followed up for 8 weeks. Glasgow Blatchford score, Endoscopy Rockall score, AIMS65, and MEWS were calculated for each patient, and the area under the receiver operating characteristic (AUC-ROC) curve for each score was compared. RESULTS: The most common etiology for UGI bleed were gastroesophageal varices 150 (63.55%) followed by peptic ulcer disease 29 (12.28%) and mucosal erosive disease 27 (11.44%). Total 38 (15.26%) patients had re-bleed and 71 (28.5%) patients died. Overall, 126 (47%) patients required blood component transfusion, 25 (9.3%) patients required mechanical ventilation and 2 (0.74%) patients required surgical intervention. Glasgow Blatchford score was the best in predicting the need for transfusion (cut off - 10, AUC-ROC= 0.678). Whereas AIMS65 with a score of ≥2 was best in predicting re-bleed (AUC-ROC=0.626) and mortality (AUC-ROC=0.725). CONCLUSION: Gastrointestinal bleed was most commonly of variceal origin at our tertiary referral center in Northern India. AIMS65 was the best & simplest score with a score of ≥2 for predicting re-bleed and mortality.

Capsule endoscopy in acute upper gastrointestinal hemorrhage: a prospective cohort study

Endoscopy ◽  
2012 ◽  
Vol 45 (01) ◽  
pp. 12-19 ◽  
Author(s):  
I. Gralnek ◽  
J. Ching ◽  
I. Maza ◽  
J. Wu ◽  
T. Rainer ◽  
...  
Keyword(s):  
Cohort Study ◽  
Prospective Cohort Study ◽  
Capsule Endoscopy ◽  
Gastrointestinal Hemorrhage ◽  
Prospective Cohort ◽  
Upper Gastrointestinal Hemorrhage ◽  
Upper Gastrointestinal

Impulsivity as a predictor of newly-diagnosed peptic ulcer disease: A prospective cohort study

2006 ◽  
Vol 41 (8) ◽  
pp. 1539-1550 ◽  
Author(s):  
Niklas Granö ◽  
Sampsa Puttonen ◽  
Marko Elovainio ◽  
Marianna Virtanen ◽  
Ari Väänänen ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Cohort Study ◽  
Peptic Ulcer Disease ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Newly Diagnosed ◽  
Ulcer Disease
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