The effectiveness of Glasgow-Blatchford Score in early risk assessment of hemodialysis patients.
End-stage renal disease
Gastrointestinal system
Glasgow-Blatchford Score
Hemodialysis
Hemorrhage
Journal
Internal and emergency medicine
ISSN: 1970-9366
Titre abrégé: Intern Emerg Med
Pays: Italy
ID NLM: 101263418
Informations de publication
Date de publication:
04 2022
04 2022
Historique:
received:
28
05
2021
accepted:
04
10
2021
pubmed:
16
10
2021
medline:
22
4
2022
entrez:
15
10
2021
Statut:
ppublish
Résumé
In the emergency departments (ED), the incidence of admission is increasing gradually due to gastrointestinal system (GIS) complications of hemodialysis (HD) patients. With this increasing number of patients, there are many classification systems developed in early risk assessment before endoscopy. In this study, we aimed to evaluate the Glasgow-Blatchford Score's (GBS) effectiveness in HD patients with suspected GIS hemorrhage in the ED.The files of 169 patients who received HD treatment were retrospectively reviewed. 64 patients who were examined and treated for reasons other than GIS hemorrhage in the ED were excluded, and the files of a total of 105 were analyzed retrospectively. The demographic characteristics and laboratory values of the patients were recorded from the patient files. When the patients were evaluated according to GBS parameters, a significant difference was found between the two groups in terms of pulse pressure, systolic blood pressure, hemoglobin value, melena, and accompanying comorbid diseases (p < 0.05). Of the 16 patients who presented to the ED due to syncope, 2 were in the GIS hemorrhage (+) group, and 14 patients were in the control group. In this study, we aimed to show that the increase in the number of admissions in the ED due to complications secondary to HD treatment and the accompanying serious changes in laboratory parameters may cause misleading results in patients with suspected GIS hemorrhage, and it is necessary to plan comprehensive and multi-center studies on new alternative scoring systems to GBS in specific patient groups such as HD patients.
Identifiants
pubmed: 34651284
doi: 10.1007/s11739-021-02869-8
pii: 10.1007/s11739-021-02869-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
753-759Informations de copyright
© 2021. Società Italiana di Medicina Interna (SIMI).
Références
Ismail N, Becker BN (1994) Treatment options and strategies in uremia: current trends and future directions. Semin Nephrol 14:292–299
Zawada ET (1994) Indications for dialysis. In: Daugirdas JT, Ing TS (eds) Handbook of dialysis. Little Brown and Company, Boston, pp 3–9
Süleymanlar G, Ateş K, Seyahi N (2018) National nephrology, dialysis and transplantation registry report of Turkey
Akdağ İ (2006) Acute complıcatıons of hemodıalysıs and treatment. Turkiye Klinikleri J Surg Med Sci 2(37):40–48
Gangji AS, Sohal AS, Treleaven D, Crowther MA (2006) Bleeding in patients with renal insufficiency: a practical guide to clinical management. Thromb Res 118(3):423–428
doi: 10.1016/j.thromres.2005.03.029
pubmed: 15975636
Mohapatra A, Valson AT, Gopal B, Singh S, Nair SC, Viswabandya A et al (2018) Hemostatic abnormalities in severe renal failure: do they bark or bite? Indian J Nephrol 28(2):135–142
pubmed: 29861564
pmcid: 5952452
Monteiro S, Gonçalves TC, Magalhães J, Cotter J (2016) Upper gastrointestinal bleeding risk scores: who, when, and why? World J Gastrointest Pathophysiol 7(1):86–96
doi: 10.4291/wjgp.v7.i1.86
pubmed: 26909231
pmcid: 4753192
Blatchford O, Murray WR, Blatchford M (2000) A risk score to predict need for treatment for upper gastrointestinal hemorrhage. Lancet 356:1318–1321
doi: 10.1016/S0140-6736(00)02816-6
pubmed: 11073021
Von Elm E, Altman DG, Egger M et al (2007) The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Ann Intern Med 147:573577. https://doi.org/10.1016/j.jclinepi.2007.11.00
doi: 10.1016/j.jclinepi.2007.11.00
Günsar F, Akarca US, Yönetçi N, Özütemiz Ö, Aydın A, Ersöz G (1997) Üst gastrointestinal sistem kanamalı yüz hastanın değerlendirilmesi. Türk J Gastroenterol 8:188–193
Türedi S, Gündüz A, Yandı M (2010) An etiological and prognostic evaluation of patients with upper gastrointestinal bleeding from Karadeniz Technical University Department of Emergency Medicine. Turk J Emerg Med 10:20–25
Shennak MM (1995) Etiology of upper gastrointestinal bleeding in Jordanian patients: a prospective study. Ann Saudi Med 15:54–59
doi: 10.5144/0256-4947.1995.54
pubmed: 17587900
Günşar F, Akarca US, Yönetçi N (1997) Üst gastrointestinal sistem kanamalı 502 hastanın değerlendirilmesi. Turk J Gastroenterol 8:188–193
Barkun A, Bardou M, Marshall JK, Nonvariceal Upper GI Bleeding Consensus Conference Group (2003) Consensus recommendations for managing patients with nonvariceal upper gastrointestinal bleeding. Ann Intern Med 139:843–857
doi: 10.7326/0003-4819-139-10-200311180-00012
pubmed: 14623622
Cryer B, Kliewer D, Sie H, McAllister L, Feldman M (1999) Effects of cutaneous aspirin on the human stomach and duodenum. Proc Assoc Am Physicians 111(5):448–456
doi: 10.1111/paa.1999.111.5.448
pubmed: 10519166
Yalçın MS, Kara B, Öztürk NA, Ölmez Ş, Taşdoğan BE, Taş A (2016) Üst Gastrointestinal Sistem Kanamalı Hastaların Epidemiyolojisi ve Endoskopik Bulguları. Dicle Med J 43:73–76
doi: 10.5798/diclemedj.0921.2016.01.0641
Baş B, Oymacı E, Dinç B (2015) Evaluation of results in patients with acute upper gis bleeding: a government hospital experience. J Clin Anal Med 6:362–365
Farooq FT, Lee MH, Das A, Dixit R, Wong RC (2012) Clinical triage decision vs risk scores in predicting the need for endotherapy in upper gastrointestinal bleeding. Am J Emerg Med 30(1):129–134
doi: 10.1016/j.ajem.2010.11.007
pubmed: 21185674
Ali H, Lang E, Barkan A (2012) Emergency department risk stratification in upper gastrointestinal bleeding. CJEM 14(1):45–49
doi: 10.2310/8000.2011.110345
pubmed: 22417958