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COMPARATIVE EFFECT OF THE DRUGS IN UPPER GASTRO INTESTINAL BLEEDING
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Several scoring system exist to assess the risk of upper GI bleeding,out of which Glasgow Blatchford Score (GBS) seems to be precise in classifying patient’s possibility of necessitating hospital based interventions or decision regarding outpatient management.Patients aged 18 and above with upper gastrointestinalbleed who were admitted in Chennai region hospitals between October 2017 and October 2018 were comprised in this prospective observational study. The clinical profile and laboratory parameters of the patients were assessed and subjected to Glasgow Blatchford scoring system and the risk analysis of the UGI bleeding was done by using the score.A total of 54 subjects with UGI bleeding were registered in the study. 74%were male. Mean age was 44.1 ± 17.84 years, mean GBS was 5.91 ± 4.27. The meanGBS had statistically significant correlation with tachycardia, hypotension, uraemia, liver disease, malena and low Hemoglobin. However, the role of Syncope andCardiac Failure in the scoring system was not found to be statistically significant in this study. There was an increase in number of blood transfusions as the GBS increased, which was found to be statistically significant (p - 0.000). Those with a GBS score of less than 6 did not require any blood transfusion. Almost all the patients with a score of zero in the study had normal endoscopic finding and they also required no blood transfusion or interventions.In emergency conditions GBS can be effortlessly used in the examination of riskin patient with upper gastrointestinal bleedingddd