الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Acute upper gastrointestinal bleeding (UGIB) is a common and life-threatening condition. It remains a common cause of visits to the emergency department with an estimated incidence of about 100 per 100000 hospitalizations and it is associated with significant morbidity, 30 day mortality and health-care costs. Aim of the Work: To assess the correlation between Glasgow-Blatchford Bleeding Score, the AIMS65 score and Rockall score in Egyptian patients with upper gastrointestinal bleeding, to predict unfavourable prognosis, the need for intervention and to evaluate the best scoring system for risk stratification in these patients. Patients and Methods: This study is Cohort study, was carried out Hemodialysis unit in Nephrology department, Ain shams university Hospital and Ain shams specialized Hospital, on 60 of heamodialysis patients divided into these three groups; (group 1): included 20 patients that have been infected with covid 19 and confirmed positive by PCR test, (group 2): included 20 patients who were highly suspected infection with covid-19 by CT findings, (group 3): included 20 patients with no history suggestive of covid-19 infection during the pandemic as acontrol study group. Results: There is astrong significance between between patients in group A (who are confirmed positive covid 19 infection by pcr test) and group B (who are suspected covid infection by ct or symptoms and laboratory findings) and group C (who are not infected or have symptoms) as regard hospital admission and home isolation. There is a significance between patients in group A (who are confirmed positive covid 19 infection by pcr test) and group B (who are suspected covid infection by ct or symptoms and laboratory findings) and group C (who are not infected or have symptoms) as regard lymphocyte count during infection, and shows that there is no significance between the groups as regard (HB, MCV, MCH, MCHC, WBCS, Platelets).. Conclusion: There was significance between patients in group A, group B and group C as regard IgG titer. There was significance negative Correlation of IgG Titer and hospital admission duration with lymphocytes count during infection and duration form infection respectively in COVID patients confirmed by PCR (n= 20). There was significance positive Correlation of IgG Titer with age and there was a significance positive correlation of hospital admission duration with BMI in COVID suspected patients by CT (n= 20). |