Öz
Amaç:
Bu çalışmamızda H3B2 skorunun Türk hastalar üzerinde validasyonunu yaptık. Ek olarak Glasgow-Blatchford skoru ile AIMS65 skorlamalarıyla karşılaştırdık.
Yöntem:
Bu çalışma retrospektif ve tek merkezli olarak yürütüldü. 07-2021 ile 07-2022 arasında üçüncü basamak hastane verileri taranarak yapıldı. Hastalar ilk başvurudan sonra 24 saat içinde endoskopi uygulaması yapılmış erişkin hastalardı. Glasgow-Blatchford skoru, AIMS65 ve H3B2 ilk başvuru değerlerine göre hesaplandı.
Bulgular:
Çalışmaya 116 hasta dahil edildi. Yaş ortanca değeri 60 (çeyrekler arası 45,53) yıldı. H3B2, AIMS65 ve Glasgow-Blatchford skorlamaları non-survivor grupta survivor gruba göre anlamlı olarak yüksekti (sırası ile p=0,005, <0,001, 0,013). Laktat ve albümin H3B2 skoruna eklendiğinde eğri altındaki alan değeri 0,910 seviyesine ulaştı ve daha güçlü öngörü kabiliyeti kazandı.
Sonuç:
H3B2 skoru Türk hastalarda kısa dönem mortaliteyi öngörmede başarılı oldu. Daha güçlü sonuçlar elde etmek için laktat ve albüminin H3B2 skoruna eklenmesini öneriyoruz.
Anahtar Kelimeler: AIMS65, Glasgow-Blatchford, H3B2 skoru, mortalite, üst gastrointestinal sistem kanaması
Kaynakça
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