Are Scoring Systems Useful in Predicting Mortality from Upper GI Bleeding in Geriatric Patients?
Abstract
1. Introduction
2. Material and Method
2.1. Study Protocol
2.2. Exclusion Criteria
2.3. Patient Grouping
2.4. Statistical Analysis
3. Results
4. Discussion
5. Limitations
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Age (Years) | 77.6 ± 8.7 (60–86) | |
Gender (n/%) | F/M 32 (50%)/32 (50%) | |
Comorbid diseases | HT | 42 (65.6%) |
DM | 35 (54.7%) | |
HF | 26 (40.6%) | |
CKD | 15 (23.4%) | |
Malignancy | 11 (17.2) | |
Neurological diseases | 9 (14.1) | |
Chronic lung diseases | 4 (6.2%) | |
Chronic liver disease | 7 (10.9) | |
Drug Use | None | n: 27 (42.2%) |
Anticoagulants or DOACs | n: 25 (39.1%) | |
NSAIDs | n: 12 (18.7%) | |
Forrest classification | Forrest 3: 54.7% | |
Forrest 2c: 9.3% | ||
Forrest 2b: 21.8% | ||
Forrest 2a: 6.2% | ||
Forrest 1b: 6.2% | ||
Forrest 1a: 1.5% | ||
Causes of death | Sepsis: 7.8% | |
Decompensated heart failure and cardiac disease: 4.7% | ||
Malignant disease: 4.7% | ||
Chronic renal failure: 1.5% |
Recovered (n = 52) | Death (n = 12) | p-Value | OR (95% CI) | |
---|---|---|---|---|
NSAID | 11 (91.7%) | 1 (8.3%) | 0.324 | 0.33 (0.3–2.9) |
OAC | 22 (88.0%) | 3 (12.0%) | 0.275 | 0.45 (0.1–1.8) |
Does Not Use Medication | 19 (70.4%) | 8 (29.6%) | 0.065 | 3.47 (0.9–13.0) |
AIMS65 (mean) | 2.40 ± 1.10 | 3.75 ± 0.75 | <0.001 | |
AIMS65 (≥2) | 13 (25.0%) | 11 (91.6%) | 0.001 | 33.0 (3.8–136.5) |
Rockall (mean) | 4.98 ± 1.82 | 8.75 ± 1.65 | <0.001 | |
Rockall (≥6) | 14 (26.9%) | 10 (83.3%) | 0.001 | 13.5 (2.6–49.7) |
Univariate Analysis | Multivariate Analysis | |||||
---|---|---|---|---|---|---|
Parameter | OR | 95% CI | p | OR | 95% CI | p |
HT | 0.44 | 0.32–1.59 | 0.212 | |||
DM | 0.79 | 0.33–2.78 | 0.717 | |||
Sepsis | 10.25 | 2.94–25.13 | 0.004 | 6.46 | 1.50–10.89 | 0.009 |
Heart failure | 5.00 | 2.26–11.69 | 0.011 | 3.18 | 1.24–7.63 | 0.026 |
Chronic liver disease | 0.69 | 0.09–6.40 | 0.749 | |||
Chronic kidney disease | 3.83 | 0.98–10.58 | 0.023 | 1.99 | 0.99–5.01 | 0.051 |
Chronic lung disease | 0.53 | 0.27–9.63 | 0.683 | |||
Malignancy | 4.64 | 1.23–12.49 | 0.017 | 2.77 | 1.17–6.85 | 0.040 |
Neurological diseases | 0.51 | 0.05–4.32 | 0.546 |
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Akkuzu, M.Z.; Ebik, B. Are Scoring Systems Useful in Predicting Mortality from Upper GI Bleeding in Geriatric Patients? Diagnostics 2025, 15, 2173. https://doi.org/10.3390/diagnostics15172173
Akkuzu MZ, Ebik B. Are Scoring Systems Useful in Predicting Mortality from Upper GI Bleeding in Geriatric Patients? Diagnostics. 2025; 15(17):2173. https://doi.org/10.3390/diagnostics15172173
Chicago/Turabian StyleAkkuzu, Mustafa Zanyar, and Berat Ebik. 2025. "Are Scoring Systems Useful in Predicting Mortality from Upper GI Bleeding in Geriatric Patients?" Diagnostics 15, no. 17: 2173. https://doi.org/10.3390/diagnostics15172173
APA StyleAkkuzu, M. Z., & Ebik, B. (2025). Are Scoring Systems Useful in Predicting Mortality from Upper GI Bleeding in Geriatric Patients? Diagnostics, 15(17), 2173. https://doi.org/10.3390/diagnostics15172173