Identification of Risk Factors for Adverse Outcomes and Comparison of Clinical Scoring Systems in Acute Lower GI Bleeding

R Santhosh, K Muthu Kumaran, Ratnakar Kini, Shubha Immineni, A. Chezhian

Abstract: Aims: To identify risk factors for adverse outcomes in acute lower GI bleeding and compare the efficacy of existing validated clinical scores in predicting severe disease. Methods: A single center prospective observational study of 160 patients admitted with LGIB who underwent colonoscopy between November 2022 and October 2023. The risk of severe LGIB was determined via univariable and multivariable logistic regression. Area under receiver operating characteristic curve analysis was used to compare the scores. Seven clinical scores were calculated at admission (Oakland, SALGIB, Birmingham, NOBLADS, AIM65, Blatchford and Charlson Comorbidity Index). Results: We had included 160 patients with acute LGIB requiring colonoscopy. Fifty four percent (n= 86) fit the criteria for severe bleeding. Patients with severe bleeding were more likely to have chronic renal failure (32% vs 18%; p =.05), lower admission hemoglobin levels (8.4 g/dl vs 10.9g/dl; P=.0001), and lower albumin values (3.2 g/dl vs 3.85g/dl; P

Keywords: LGIB, Oakland, Severe bleeding, SALGIB, Albumin, Clinical Score

How to Cite?: R Santhosh, K Muthu Kumaran, Ratnakar Kini, Shubha Immineni, A. Chezhian, "Identification of Risk Factors for Adverse Outcomes and Comparison of Clinical Scoring Systems in Acute Lower GI Bleeding", Volume 12 Issue 7, July 2023, International Journal of Science and Research (IJSR), Pages: 1181-1185, https://www.ijsr.net/getabstract.php?paperid=SR23711160337, DOI: https://dx.doi.org/10.21275/SR23711160337

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