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Three Simple Parameters on Admission to the Emergency Department are Predictors for Endoscopic Intervention in Patients with Suspected Nonvariceal Upper Gastrointestinal Bleeding.
J Emerg Med
February 2024
Department of Internal Medicine, Ankara City Hospital, Ankara, Turkey.
Background: A considerable number of patients with nonvariceal upper gastrointestinal bleeding (UGIB) need endoscopic intervention.
Objective: The aim of this study was to determine factors that predict the need for endoscopic intervention at the time of admission to the emergency department.
Methods: Consecutive patients with International Classification of Diseases, Tenth Revision diagnosis code K92.
Dental trauma in endoscopy: A systematic review and experience of a tertiary endoscopy centre.
World J Gastrointest Endosc
August 2023
Division of Gastroenterology and Hepatology, National University Health System, Singapore 119074, Singapore.
Background: Dental injury is the leading cause of litigation in anaesthesia but an underrecognized preventable complication of endoscopy.
Aim: To determine frequency and effects of dental injury in endoscopy, we present findings from an audit of outpatient endoscopy procedures conducted at a tertiary university hospital and a systematic review of literature.
Methods: Retrospective review of 11265 outpatient upper endoscopy procedures over the period of 1 June 2019 to 31 May 2021 identified dental related complications in 0.
Validation of a pre-endoscopy risk score for predicting the presence of gastric intestinal metaplasia in a U.S. population.
Gastrointest Endosc
October 2023
Section of Epidemiology and Population Sciences, Baylor College of Medicine, Houston, Texas, USA; Department of Medicine, Dan L. Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, Texas, USA.
Background And Aims: Surveillance of gastric intestinal metaplasia (GIM) may lead to early gastric cancer detection. Our purpose was to externally validate a predictive model for endoscopic GIM previously developed in a veteran population in a second U.S.
View Article and Find Full Text PDFPerformance of Six Clinical Physiological Scoring Systems in Predicting In-Hospital Mortality in Elderly and Very Elderly Patients with Acute Upper Gastrointestinal Bleeding in Emergency Department.
Medicina (Kaunas)
March 2023
Department of Emergency Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi County 613, Taiwan.
Article Synopsis
- The study compares six clinical scores to predict in-hospital mortality in elderly patients with acute upper gastrointestinal bleeding.
- A total of 336 patients aged over 65 were included, with MEWS showing the highest predictive accuracy (AUC of 0.82) for both the overall group and a subgroup of very elderly patients (over 75).
- The findings suggest that MEWS is a valuable tool for emergency physicians to assess risk and make decisions for elderly patients.
Use of the AIMS65 and pre-endoscopy Rockall scores in the prediction of mortality in patients with the upper gastrointestinal bleeding.
Ulus Travma Acil Cerrahi Derg
December 2022
Department of Emergency Medicine, University of Health Sciences, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul-Türkiye.
Background: Upper gastrointestinal (GI) bleeding is one of the most common reasons for emergency department (ED) visits. This study aimed to evaluate the predictive power of the AIMS65 and pre-endoscopy Rockall scores in predicting in-hospital mortality in patients that presented to ED and were diagnosed with the upper GI bleeding.
Methods: Data of patients aged 18 years and older, who visited ED of Kartal Dr.
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