Risk stratification and outcome in haematemsis patients in emergency room in Suez Canal university hospital, Ismailia, Egypt

Monira Taha; Sameh Saad; Adel Hamed Elbaih; Hosam Mohamad; Gouda Ellabban

doi:10.18203/2349-2902.isj20162707

Authors

Monira Taha Department of Emergency, Faculty of Medicine, Suez Canal University, Ismailia
Sameh Saad Department of Emergency, Faculty of Medicine, Suez Canal University, Ismailia
Adel Hamed Elbaih Department of Emergency, Faculty of Medicine, Suez Canal University, Ismailia
Hosam Mohamad Department of Emergency, Faculty of Medicine, Suez Canal University, Ismailia
Gouda Ellabban Department of of General Surgery, Faculty of Medicine, Suez Canal University, Ismailia

DOI:

https://doi.org/10.18203/2349-2902.isj20162707

Keywords:

Risk stratification, Outcome, Haematosis

Abstract

Background:Identify risk factors for upper gastrointestinal bleeding and establish the scoring system in order to divide patients into the high and low-risk group. The objective of this study was to risk stratification for haematemesis patients to get rapid evaluation and best management to improve outcome.

Methods: A descriptive cross-sectional study in emergency department at Suez Canal university hospital, 270 patients were included in this study.

Results:Patients were followed up until discharged or admitted to inpatient or in the hepatic care unit, had been divided into 2 groups (high and low risk groups). The low-risk group included 95 patients (35.2%) while The high risk group included 175 patients (64.8 %). 28 patients (16%) from 175 patients with high risk had been died in the hospital, 8 patients from 39 patients in the ICU and 20 patients from 136 patients from the inpatient.

Conclusions:A new risk score system that could add value to discriminate high risk patients, this score had the cut-off value of 5 with high sensitivity, high specificity 72%, 86% respectively and AUC 40%.