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2015, Number 1

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Rev Cub Med Mil 2015; 44 (1)

Predicting scales for prognosis of patients with non-variceal upper gastrointestinal bleeding

Winograd LR, Infante VM, Guisado RY, Angulo PO, González BI, Williams GE

Language: Spanish
References: 35
Page: 73-85
PDF size: 167.52 Kb.


ABSTRACT

The non-variceal upper gastrointestinal bleeding is a major cause of morbidity and mortality worldwide. The need for prognostic scales to define the course of action regarding the optimal use of medical resources has imposed, so that patient care quality is guaranteed. The aim of this paper is to go over the positive and negative aspects of the scales, to relate the parameters included and the possibilities of its application in Cuba. A search was conducted on existing bibliographic records in PubMed and EBSCO databases. Keywords in Spanish and English were used, such as non-variceal upper gastrointestinal bleeding, and prognostic scales. A review of different models was performed; the principal authors of the scales were related; scales were divided into pre-endoscopic and endoscopic and the most used were characterized. The information collected allowed for an overview, showing the various existing variants and classify patients according to risks, according to forecasts indices obtained after the scale application. It is concluded that the prognostic scales to assess the need for urgent intervention, the bleeding likelihood, surgery or acute mortality in medical decision making and their use is in line with each context particularities.


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