Background: Upper gastrointestinal (GI) bleeding originates above the Treitz ligament and blood urea nitrogen (BUN)/Creatinine (Cr) ratio ≥30 was shown to indicate the presence of upper GI bleeding and it might be an independent risk factor for mortality. The mean platelet volume (MPV) was reported as an indicator of platelet function and activation and was shown to be useful in the diagnosis and follow-up of vascular-origin disorders. In the present study, we aimed to investigate whether BUN/Cr ratio and MPV were predictors of mortality and morbidity in patients with upper GI bleeding.
Material and Method: This retrospective study enrolled a total of 141 patients admitted to the Emergency Department with symptoms of upper GI bleeding and had undergone endoscopy between January 2013-January 2015. Demographics, hemoglobin, hematocrit, MPV, BUN/Cr, the hospitalization unit, the duration of stay, outcome, and the endoscopy reports of the patients were recorded. Statistical analysis was performed using SPSS 17.0.
Results: It was found that the MPV level did not predict mortality and morbidity in our patients with upper GI bleeding. The likelihood of active bleeding was higher in patients with a BUN/Cr ratio of above 30 when compared to those with a ratio of below 30.
Conclusion: In patients presenting to the emergency department with symptoms of GI bleeding but without signs of renal failure, calculation of admission BUN/Cr ratio may be beneficial for making treatment and follow-up plans.
upper gastrointestinal bleeding blood urea nitrogen/creatinine ratio mean platelet volume morbidity mortality
Birincil Dil | İngilizce |
---|---|
Konular | Sağlık Kurumları Yönetimi |
Bölüm | Research Articles |
Yazarlar | |
Yayımlanma Tarihi | 24 Eylül 2021 |
Yayımlandığı Sayı | Yıl 2021 Cilt: 3 Sayı: 4 |
Üniversitelerarası Kurul (ÜAK) Eşdeğerliği: Ulakbim TR Dizin'de olan dergilerde yayımlanan makale [10 PUAN] ve 1a, b, c hariç uluslararası indekslerde (1d) olan dergilerde yayımlanan makale [5 PUAN]
- Dahil olduğumuz İndeksler (Dizinler) ve Platformlar sayfanın en altındadır.
Not: Dergimiz WOS indeksli değildir ve bu nedenle Q olarak sınıflandırılmamaktadır.
Yüksek Öğretim Kurumu (YÖK) kriterlerine göre yağmacı/şüpheli dergiler hakkındaki kararları ile yazar aydınlatma metni ve dergi ücretlendirme politikasını tarayıcınızdan indirebilirsiniz. https://dergipark.org.tr/tr/journal/3449/page/10809/update
Dergi Dizin ve Platformları
TR Dizin ULAKBİM, Google Scholar, Crossref, Worldcat (OCLC), DRJI, EuroPub, OpenAIRE, Turkiye Citation Index, Turk Medline, ROAD, ICI World of Journal's, Index Copernicus, ASOS Index, General Impact Factor, Scilit.