The role of Shock Index and its derivatives in predicting mortality in patients with upper gastrointestinal bleeding
Upper gastrointestinal bleeding (UGIB), a life-threatening emergency, causes significant morbidity, mortality, and healthcare costs. The mortality rate for UGIB is approximately 10%, but this rate rises to 15% in hemodynamically unstable patients. Identifying factors related to mortality and morbidi...
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Society of Turaz Bilim
2024-04-01
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| Series: | Medicine Science |
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| Online Access: | https://www.medicinescience.org/?mno=216590 |
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| author | Mehmet Seyfettin Saribas Ali Aygun Furkan Kara Adem Koksal Ibrahim Caltekin |
| author_facet | Mehmet Seyfettin Saribas Ali Aygun Furkan Kara Adem Koksal Ibrahim Caltekin |
| author_sort | Mehmet Seyfettin Saribas |
| collection | DOAJ |
| description | Upper gastrointestinal bleeding (UGIB), a life-threatening emergency, causes significant morbidity, mortality, and healthcare costs. The mortality rate for UGIB is approximately 10%, but this rate rises to 15% in hemodynamically unstable patients. Identifying factors related to mortality and morbidity can help early detection of critical patient groups, guiding initial treatment approaches and patient management for clinicians. This study aims to investigate the performance of the Shock Index (SI) and its derivatives in predicting mortality. In the study, patients diagnosed with UGIB who presented to the Emergency Department (ED) between 2022 and 2024 were analyzed retrospectively. Patients aged 18 and over who were confirmed to have UGIB following internal medicine and/or gastroenterology consultation and were subsequently admitted to the hospital were included in the study. Of the 201 patients included in the study, 112 (55.7%) were male, with a mean age of 70.68±16.617. In-hospital mortality occurred in 17 patients (8.5%), and 30-day mortality was observed in 22 patients (10.9%). When examining the area under the curve (AUC), Age-SI (ASI) showed the best performance in predicting in-hospital mortality (AUC 0.837), followed by Age-Modified Shock Index (AMSI, AUC 0.829), MSI (AUC 0.810), and SI (AUC 0.806). ASI and AMSI can be calculated easily, cost-effectively, quickly, and practically at the time of ED presentation in UGIB patients, aiding in the early identification of critical patient groups and guiding clinicians. [Med-Science 2024; 13(4.000): 775-82] |
| format | Article |
| id | doaj-art-6dbfd850a27f4c81bc30061dd6f92270 |
| institution | Kabale University |
| issn | 2147-0634 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Society of Turaz Bilim |
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| series | Medicine Science |
| spelling | doaj-art-6dbfd850a27f4c81bc30061dd6f922702025-02-07T08:49:23ZengSociety of Turaz BilimMedicine Science2147-06342024-04-011347758210.5455/medscience.2024.08.100216590The role of Shock Index and its derivatives in predicting mortality in patients with upper gastrointestinal bleedingMehmet Seyfettin Saribas0Ali Aygun1Furkan Kara2Adem Koksal3Ibrahim Caltekin4Department of Emergency Medicine, Girne Military Hospital, Kyrenia, Cyprus Department of Emergency Medicine, Ordu University Faculty of Medicine, Ordu, Turkiye Department of Emergency Medicine, Ordu University Faculty of Medicine, Ordu, Turkiye Department of Emergency Medicine, Ordu University Faculty of Medicine, Ordu, Turkiye Department of Emergency Medicine, Ordu University Faculty of Medicine, Ordu, TurkiyeUpper gastrointestinal bleeding (UGIB), a life-threatening emergency, causes significant morbidity, mortality, and healthcare costs. The mortality rate for UGIB is approximately 10%, but this rate rises to 15% in hemodynamically unstable patients. Identifying factors related to mortality and morbidity can help early detection of critical patient groups, guiding initial treatment approaches and patient management for clinicians. This study aims to investigate the performance of the Shock Index (SI) and its derivatives in predicting mortality. In the study, patients diagnosed with UGIB who presented to the Emergency Department (ED) between 2022 and 2024 were analyzed retrospectively. Patients aged 18 and over who were confirmed to have UGIB following internal medicine and/or gastroenterology consultation and were subsequently admitted to the hospital were included in the study. Of the 201 patients included in the study, 112 (55.7%) were male, with a mean age of 70.68±16.617. In-hospital mortality occurred in 17 patients (8.5%), and 30-day mortality was observed in 22 patients (10.9%). When examining the area under the curve (AUC), Age-SI (ASI) showed the best performance in predicting in-hospital mortality (AUC 0.837), followed by Age-Modified Shock Index (AMSI, AUC 0.829), MSI (AUC 0.810), and SI (AUC 0.806). ASI and AMSI can be calculated easily, cost-effectively, quickly, and practically at the time of ED presentation in UGIB patients, aiding in the early identification of critical patient groups and guiding clinicians. [Med-Science 2024; 13(4.000): 775-82]https://www.medicinescience.org/?mno=216590emergency medicinemortalityrisk assessmentshock indexupper gastrointestinal bleeding |
| spellingShingle | Mehmet Seyfettin Saribas Ali Aygun Furkan Kara Adem Koksal Ibrahim Caltekin The role of Shock Index and its derivatives in predicting mortality in patients with upper gastrointestinal bleeding Medicine Science emergency medicine mortality risk assessment shock index upper gastrointestinal bleeding |
| title | The role of Shock Index and its derivatives in predicting mortality in patients with upper gastrointestinal bleeding |
| title_full | The role of Shock Index and its derivatives in predicting mortality in patients with upper gastrointestinal bleeding |
| title_fullStr | The role of Shock Index and its derivatives in predicting mortality in patients with upper gastrointestinal bleeding |
| title_full_unstemmed | The role of Shock Index and its derivatives in predicting mortality in patients with upper gastrointestinal bleeding |
| title_short | The role of Shock Index and its derivatives in predicting mortality in patients with upper gastrointestinal bleeding |
| title_sort | role of shock index and its derivatives in predicting mortality in patients with upper gastrointestinal bleeding |
| topic | emergency medicine mortality risk assessment shock index upper gastrointestinal bleeding |
| url | https://www.medicinescience.org/?mno=216590 |
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