Sakthi Velayutham, S (2007) Validation of High Risk Clinical Scoring: As a Sensitive Method to Predict Endoscopic Severity and Adverse Outcome in patients with UGI Bleed. Masters thesis, Madras Medical College, Chennai.
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Abstract
In our hospital, the Government General Hospital, Chennai, we started this study with the objectives of identifying high risk clinical features in upper Gastrointestinal bleeding and testing the sensitivity of high risk clinical features in predicting endoscopic severity and adverse outcome like Rebleed and Mortality. We studied 50 consecutive patients admitted with UGI bleed in Medical and Surgical wards prospectively. Clinical assessment was done by taking careful history, bedside examination and basic blood investigation. We assigned a score for each parameter with due emphasis laid over quantity of bleed, continued bleed, unstable hemodynamics, altered consciousness level and presence of co-morbidities. After clinical stabilisation, all the patients were subjected to early upper GI endoscopy. And endoscopy revealed those patients with high risk clinical score, had high grade ulcer bleed in the non - variceal category based on Forrest classification and high grade esophageal varices, in the variceal category. Endoscopy also provided an excellent correlation between high risk clinical scoring and early adverse outcome like Rebleed and Mortality. We found that clinical risk scoring was a sensitive tool in identifying patients who are at higher risk of morbidity and mortality from UGI bleed and in predicting endoscopic severity.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Validation of High Risk Clinical Scoring ; Sensitive Method ; Predict Endoscopic Severity ; Adverse Outcome ; patients ; UGI Bleed. |
| Subjects: | MEDICAL > General Medicine |
| Depositing User: | Subramani R |
| Date Deposited: | 28 Mar 2018 03:43 |
| Last Modified: | 30 Mar 2018 16:09 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/6649 |
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