Özet:

Purpose: Upper gastrointestinal (GIS) bleeding is a major cause of mortality and morbidity today, and the patient’s tracking and treatment costs are still high. This study examined the value of the risk scores in mortality and morbidity forecast for patients with high GIS blood. Method: In the study on January 2015-January 2016, the data of patients who came to the emergency service of the University of Health Sciences, Istanbul Bağcılar Education and Research Hospital of the Clinic of Internal Diseases with the highest GIS bleeding diagnosis were examined retrospectively. In endoscopic examinations, patients with the presence of upper GIS bleeding developing with varicose (özofageal and gastric) were not taken to study. According to endoscopic findings, Forrest was classified. In Forrest class, bleeding ulcers are classified according to their appearance as follows: "Forrest 1a; active bleeding in the spreading style", Forrest 1b; "active bleeding in the spreading style", Forrest 2a; "invisible visible vessels", Forrest 2b; "flood sputum", Forrest 2c; "flood pigment damage", Forrest 3; "no bleeding finds". Rockall score classification was calculated by endoscopic findings such as age, pulse, systolic blood pressure, comorbid disease and endoscopic diagnosis. A low score of three shows good forecast. Glasgow-Blatchford risk score classification was calculated according to the cases of uric nitrogen, hemoglobin, systolic blood pressure, pulse, melena presence, syncope, the presence of liver disease, heart failure. In this score, patients may be in the scale of 0-23 points, and the need for endoscopic intervention is also increased according to the score increase. The average age of participants was 57.39±19.14 years. 72% of the cases (n=121) were men. In 88.7 percent of cases, melena was observed, in 61.9 percent peptic ulcers and in 12.5 percent general surgical consultations were observed. There were no significant differences between the forrest classes of cases in terms of the average score of blood transfusion (p>0,05). Rockall and Glasgow-Blatchford scores were found to have higher values in the observed incidents of the infection time, the need for blood transfusion, recurrence, intensive care tracking, surgery and mortality (p<0,05). The fact that Rockall and Glasgow-Blatchford risk scores are associated with morbidity and mortality rates has shown that patients should not be assessed only by endoscopic images. In extensive prospective studies, these scores can be used in the approach to patients with upper GIS blood.

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