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Int Surg J. 2016; 3(3): 1249-1255

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.

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%.

Key words: Risk stratification, Outcome, Haematosis

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