Clinical outcomes of acute upper gastrointestinal bleeding according to the risk indicated by Glasgow-Blatchford risk score-computed tomography score in the emergency room

Hyun Ae Lee, Hye Kyung Jung, Tae Oh Kim, Ju Ran Byeon, Eui Sun Jeong, Hyun Ji Cho, Chung Hyun Tae, Chang Mo Moon, Seong Eun Kim, Ki Nam Shim, Sung Ae Jung

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Background/Aims: Acute upper gastrointestinal (UGI) bleeding is a significant emergency situation with a mortality rate of 2% to 10%. Therefore, initial risk stratification is important for proper management. We aimed to evaluate the role of con-trast-enhanced multidetector computed tomography (MDCT) for risk stratification in patients with acute UGI bleeding in the emergency room (ER). Methods: This retrospective study included patients with UGI bleeding in the ER. Glasgow-Blatchford risk score-computed tomography (GBS-CT) was assessed using a combination of GBS and the MDCT scan scoring system. Results: Of the 297 patients with UGI bleeding, 124 (41.8%) underwent abdominal MDCT. Among them, 90.3% were clas-sified as high-risk by GBS, and five patients died (4.0%). Rebleeding occurred in nine patients (7.3%). The high-risk GBS-CT group had significantly higher in-hospital mortality (10.5% in high-risk vs. 1.4% in moderate risk vs. 0% in low-risk, p = 0.049), transfusion amount (p < 0.001), and endoscopic hemostasis (p < 0.001) compared to the moderate-and low-risk groups. Conclusions: Adding MDCT scans to the existing validated prognosis model when predicting the risk of UGI bleeding in patients in the ER plays a significant role in determining in-hospital mortality, transfusions, and the need for endoscopic he-mostasis.

Original languageEnglish
Pages (from-to)1176-1185
Number of pages10
JournalKorean Journal of Internal Medicine
Volume37
Issue number6
DOIs
StatePublished - Nov 2022

Bibliographical note

Publisher Copyright:
© 2022 The Korean Association of Internal Medicine.

Keywords

  • Gastrointestinal hemorrhage
  • Multidetector computed tomography
  • Risk assessment
  • Upper gastrointestinal tract

Fingerprint

Dive into the research topics of 'Clinical outcomes of acute upper gastrointestinal bleeding according to the risk indicated by Glasgow-Blatchford risk score-computed tomography score in the emergency room'. Together they form a unique fingerprint.

Cite this