Year: 2018
Type: article
Study design: Observational Study
Abstract: Aim: Glasgow Blatchford Score (GBS) and Rockall score is the most widely used scoring system for risk classification of patients with upper gastrointestinal bleeding.Lactate levels is not used by any of those scoring systems.Lactate levels is a determinant factor in a variety of conditions including shock, trauma and sepsis.The aim of our study was to investigate prognostic value of serum lactate levels in patients who have GI bleeding.Material and Method: Patients with the age 18 and older who were diagnosed upper gastrointestinal system bleeding, between May 1, 2015 and May 31, 2016, were enrolled in the study.The age, sex, hemoglobin and lactate values in emergency admission, the need for blood transfusion, chronic disease and GBS values were recorded in the data sheet.We investigated the association between blood transfusion and intensive care with lactate level.SPSS 22.0 (IBM Corporation, Armonk, New York, United States) program was used to analyze the variables.Results: 78 patients were included in the study.27 patients (34.6%) were female and 51 (65.4) were male.The mean age was 67.6±17.75 (min: 22, max: 100).The median lactate levels were 2.2 mmol/L for patients who need blood transfusion and 1.9 mmol/L for patients who who didn't need. .This difference was not statistically significant (p=0.450).The median lactate levels were 3.9 mmol/L for patients who hospitalized in intensive care and 1.9 mmol/L for patients who did not need intensive care.This difference was statistically significant (p=0.038).Conclusion: In our study, significant relationship between intensive care hospitalization and lactate levels was found; but between the need for blood transfusion and lactate levels we didn't find a significant relationship.
Language: English
Subfield: Gastroenterology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W2903858905