Prediction of adverse outcomes using non-endoscopic scoring systems in patients over 80 years of age who present with the upper gastrointestinal bleeding in the emergency department

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dc.authoridBARDAKCI, OKAN/0000-0001-6829-7435
dc.contributor.authorBardakci, Okan
dc.contributor.authorSiddikoglu, Duygu
dc.contributor.authorAkdur, Gokhan
dc.contributor.authorSimsek, Guven
dc.contributor.authorAtalay, Unzile
dc.contributor.authorDas, Murat
dc.contributor.authorAkdur, Okhan
dc.date.accessioned2025-01-27T20:20:24Z
dc.date.available2025-01-27T20:20:24Z
dc.date.issued2022
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBACKGROUND: The emergency department (ED) admission rate for elderly patients with non-variceal upper gastrointestinal bleeding (UGIB) is increasing. The AIMS65 and Glasgow-Blatchford score (GBS) are two distinct scoring systems proposed to predict in-hospital and post-discharge mortality, length of stay (LOS), and health-related costs in these patients. The objective of the present study is to evaluate the accuracy of these scoring systems, in conjunction with the Charlson comorbidity index (CCI), to predict 30-day mortality and LOS in UGIB patients who are 80 years of age or older METHODS: A retrospective analysis was undertaken of 182 patients with non-variceal UGIB who were admitted to the ED of Canakkale Onsekiz Mart University Hospital. The AIMS65, GBS, and CCI scores were calculated and adverse patient outcomes were assessed. RESULTS: The mean age of patients was 85.59 +/- 4.33 years, and 90 (49.5%) of the patients were males. The AIMS65 was superior to the GBS (area under the receiver operating characteristic curve [AUROC] 0.877 vs. 0.695, respectively) and CCI (AUROC 0.877 vs. 0.526, respectively) in predicting the 30-day mortality. All three scores performed poorly in predicting the LOS in hospital. The cutoff threshold that maximized sensitivity and specificity for mortality was three for the AIMS65 score (sensitivity, 0.87; specificity, 0.80; negative predictive values [NPV], 0.977; positive predictive values [PPV], 0.392), 14 for GBS (sensitivity, 0.83; specificity, 0.51; NPV, 0.923; PPV, 0.367), and 5 for CCI (sensitivity, 0.91; specificity, 0.22; NPV, 0.946; PPV, 0.145). CONCLUSION: The AIMS65 is a simple, accurate, and non-endoscopic scoring system that can be performed easily in ED settings. It is superior to GBS and CCI in predicting 30-day mortality in elderly patients with UGIB.
dc.identifier.doi10.14744/tjtes.2020.27810
dc.identifier.endpage47
dc.identifier.issn1306-696X
dc.identifier.issue1
dc.identifier.pmid34967427
dc.identifier.scopus2-s2.0-85123055284
dc.identifier.scopusqualityQ3
dc.identifier.startpage39
dc.identifier.trdizinid1137439
dc.identifier.urihttps://doi.org/10.14744/tjtes.2020.27810
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1137439
dc.identifier.urihttps://hdl.handle.net/20.500.12428/21694
dc.identifier.volume28
dc.identifier.wosWOS:000739854500006
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Assoc Trauma Emergency Surgery
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectAIMS65
dc.subjectCharlson comorbidity index
dc.subjectgastrointestinal bleeding
dc.subjectGlasgow-Blatchford score
dc.subjectoldest-old
dc.titlePrediction of adverse outcomes using non-endoscopic scoring systems in patients over 80 years of age who present with the upper gastrointestinal bleeding in the emergency department
dc.title.alternativeAcil serviste üst gastrointestinal kanama ile başvuran 80 yaş üstü hastalarda invaziv olmayan skorlama sistemleri kullanılarak olumsuz sonuçların tahmini
dc.typeArticle

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