The effect of glasgow-blatchford score, aims-65 and lactate levels on the determination of hospitalization, discharge and the needs to transfusion in the upper gastrointestinal system bleeding

ABSTRACT Introduction and Objective: In this study, it was aimed to determine early stage risk group by comparing Glasgow Blatchford Scale (GBS), AIMS 65 and lactate levels in upper gastrointestinal bleeding patients and to create an approach to risk groups in this direction. Materials and Methods: This study was carried out retrospectively by evaluating the data of patients who were over 18 years old upper gastrointestinal system hemorrhage who were referred to Ankara Yıldırım Beyazıt University Medical Faculty Atatürk Training and Research Hospital Emergency Department between 01/01 / 2017-01 / 01/2018. In our study demographic information such as age and gender of the patient and blood pressure, heart rate, mental status, patient complaints, hemoglobin, blood urea nitrogen (BUN), international normalized ratio (INR), albumin values were recorded. AIMS65 score, GBS and lactate values were calculated for each patient separately. Patients' admission, ES transfusion requirement, mortality were evaluated. Results: 246 patients were included who were able to reach the study data. Of the patients, 143 (58.1%) were male and 103 were female (41.9%). The age range was 18-97. The mean age was 62 ± 18. We examined whether our disease endoscopy was performed. Endoscopy was performed in 235 patients (95.5%). 149 (60.6%) of the patients were hospitalized. Twenty-four patients (9.8%) underwent intensive care. 73 patients (29.7%) were discharged. 15 (6.1%) patients were followed up within 30 days following the bleeding. ES transfusion was predicted, and a statistically significant difference in GBS and lactate values was obtained when mortality was evaluated. The mean AIMS65 score of the patients was 1 ± 1, the Glasgow-Blatchford score was 9 ± 5, and the lactate level was 1.8 ± 1.2 mmol / L. It has been observed that there is a significant correlation between each of the three parameters. ES transfusion was predicted, and statistically significant difference was obtained between GBS (p = 0.023) and lactate (p = 0.001) when mortality was evaluated. Conclusion: GBS needs to be evaluated in the preliminary plan for early risk planning.It has been determined that the application of ES transfusion in everyday practice as a result of our study in terms of mortality evaluation and hospitalization priority is important for both patient and physician.