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Turkish Journal of Medical Sciences

Abstract

Background/aim: Acute gastrointestinal (GI) tract bleeding is a common and potentially life-threatening condition among patients presenting to emergency departments. In this study, we calculated AIMS65, Rockall, Glasgow-Blatchford Score (GBS), and Canada-United Kingdom-Australia (CANUKA) scores in patients with GI bleeding admitted to the emergency department and compared the sensitivity of these scoring systems in predicting the rates of admission to intensive care units and mortality. It is aimed to contribute to clinical practice and help determine an effective risk assessment tool in the management of patients with GI bleeding.

Materials and methods: The study was conducted with patients who were diagnosed with GI bleeding. The study was conducted retrospectively between 1 January 2020 and 31 December 2023. The data of the patients were obtained from the hospital automation system. Patients with missing data were excluded from the study. AIMS65, Rockall, GBS, and CANUKA scores of the patients were calculated and recorded separately.

Results: A total of 916 patients were included in our study. The median age was 70 years, and 62.3% of the patients were male. A total of 22.2% of the patients were hospitalized in the intensive care unit (ICU), and the in-hospital mortality rate was 0.9% (n = 8). According to the results of receiver operator characteristic (ROC) analysis of continuous measurements in terms of ICU hospitalization, the ability of the 4 scores to predict ICU hospitalization was statistically significant (p < 0.001). The CANUKA Score had the highest and best discriminative ability to predict ICU admission (area under the ROC curve [AUC] = 0.734). According to the results of ROC analysis of continuous measures in terms of mortality, the ability of AIMS65, CANUKA, and Rockall scores to predict mortality was statistically significant (p-values <0.001, <0.001, and 0.001, respectively).

Conclusion: The CANUKA Score had the best discriminative ability in predicting intensive care unit admission and the best discriminative ability in predicting mortality after the AIMS65 Score.

Author ORCID Identifier

FATMA HANCER CELİKHANÇER ÇELİK: 0009-0003-4421-5791

NECMINECMİ BAYKAN: 0000-0002-6845-9550

FATMA UNLUÜNLÜ: 0009-0009-0212-0739

MUSTAFA ALPASLAN: 0000-0003-3170-0125

AYSEAYŞE AKAN: 0000-0002-0160-7926

OMERÖMER SALT: 0000-0002-5557-6627

IBRAHIMİBRAHIM TOKER: 0000-0002-5346-2116

NUH BUYUKBERBER: 0000-0003-1938-4377

DOI

10.55730/1300-0144.6064

Keywords

AIMS65 Score, Canada-United Kingdom-Australia (CANUKA) Score, emergency medicine, gastrointestinal system bleeding, Glasgow-Blatchford Score, mortality, Rockall Score

First Page

1097

Last Page

1102

Publisher

The Scientific and Technological Research Council of Türkiye (TÜBİTAK)

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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