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Colegio de Medicina Interna de México.

2023, Number 4

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Med Int Mex 2023; 39 (4)

Characterization of patients with digestive hemorrhage according to evaluation scales

Martínez SLM, Zuluaga GM, Estrada AAF, Cuartas AYS, Carvajal AM, Vergara YD, Cerón LS

Language: Spanish
References: 30
Page: 595-601
PDF size: 201.78 Kb.


ABSTRACT

Objective: To characterize patients with gastrointestinal hemorrhage according to three evaluation scales.
Materials and Methods: An observational, descriptive, cross-sectional study that included adult patients with gastrointestinal hemorrhage, hospitalized in a highly complex institution in the city of Medellin, Colombia, in 2018 with clinical evidence of the variables that allowed the application of the Rockall index, the Glasgow-Blatchford scale and the AIMS65 score. A non-probabilistic sampling of consecutive cases was carried out.
Results: Four hundred fifty-four patients were included, there was a predominance of males with 53.3% (242), and median age was 59.5 years; 77.2% (348) of the patients were attended in general hospitalization. Regarding hemorrhage, 76% (346) had a location in the upper digestive tract; 56.8% (256) of patients presented melena, and 57.6% (261) anemia; 20% (90) of the patients had a score of 4 on the Rockall index. Regarding the Glasgow-Blatchford scale, 91% (413) of the patients obtained a score › 0; 44.1% (200) of the patients had a score of 1 in the AIMS65 score. Regarding mortality, 6.9% (31) died from bleeding.
Conclusions: Upper gastrointestinal hemorrhage is the main gastroenterological emergency that must be identified and classified in a timely manner to avoid complications and improve patient care.


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