Risk score for assessment of adults with acute gastrointestinal haemorrhage: A prospective study

Zaid Saad Abdul Alsattar; Fadil Agla Bonyan; Ahmed Salih Ahmed; Laith G. Shareef

doi:10.30574/gscbps.2020.13.2.0376

Authors

Zaid Saad Abdul Alsattar Emergency department, Medical City, Baghdad, Iraq.
Fadil Agla Bonyan Emergency department, Medical City, Baghdad, Iraq.
Ahmed Salih Ahmed Emergency department, Medical City, Baghdad, Iraq.
Laith G. Shareef Clinical Pharmacy department, Medical City, Baghdad, Iraq.

DOI:

https://doi.org/10.30574/gscbps.2020.13.2.0376

Keywords:

Gastrointestinal bleeding, Risk score, Hemorrhage, Mode of treatment

Abstract

Gastrointestinal (GI) bleeding has created an increasing demand for medical and surgical care; in addition, It is potentially serious and considered life-threatening in all age groups. This prospective study aims to find out the most common causes of GI bleedings, the incidence, the mode of treatment, and to investigate whether a simplified clinical score was able to predict the level of severity in the emergency department. About 170 patients aged (19 – 73) years who had been admitted to the emergency department in Baghdad teaching hospital were prospectively evaluated according to the causes of GI bleeding they presented with, the mode of treatment, and the degree of severity. Out of 170 patients included in this study, 95 patients (55.88%) were males, and 75 patients (44.12%) were females, with an average age of 41.11 years. The causes of GI bleeding were peptic ulcer (29.41%), gastritis (18.82%), diverticulitis (8.82%), hemorrhoids (8.23%), colonic cancer (7.64%), inflammatory bowel diseases (7.64%), anal fissure (7.05%), mesenteric ischemia (7.05%) and oesophagal varices (5.29%). Most of the cases of a peptic ulcer due to duodenal ulcer. Diagnostic endoscopy and conservative management were the main modes of treatment in these patients. Peptic ulcer and gastritis appear to be the main causes of GI bleeding, especially upper GI bleeding, while diverticulitis seems to be the main cause of lower GI bleeding and can be managed conservatively. Haemorrhoids and anal fissures will be managed surgically, either elective or emergency surgery. Also, our simplified clinical score appeared to be associated with the detection of the level of severity, which may deserve urgent interventions.

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