Utilidad de la escala de Glasgow-Blatchford para la estratificación del riesgo de hemorragia digestiva alta en el hospital Naval de Guayaquil, en el periodo comprendido entre enero 2017 a diciembre 2019.

Abstract

Introduction: Upper gastrointestinal bleeding is defined as the loss of blood within the lumen formed from the oropharynx to the anus, proximal to the angle of Treitz. It is more common in men and in advanced ages, and its clinical presentation ranges from melena, syncope, and hematemesis to signs of hypovolemia. The Glasgow-Blatchford scale is used to classify patients as high and low risk. Objective: Determine the prevalence of upper gastrointestinal bleeding and stratify the risk of patients in the emergency and hospitalization area of the Hospital Naval de Guayaquil from 2017 to 2019. Materials and methods: This study was an observational, descriptive, and retrospective with a data that was recollected in an indirect way. The population consisted of 95 patients with a diagnosis of upper gastrointestinal bleeding from the Hospital Naval of Guayaquil (HOSNAG). Results: Males predominated with 62,1%, the most frequent age group was between 23 and 99 years old with an average of 61.23, the most frequent clinical presentation was melena 57,9% and in terms of prevalence and stratification there was a majority in high risk with 92,6%. Conclusion: The use of the Glasgow-Blatchford scale is essential for the stratification of patients, since there is a high prevalence in the Hospital Naval of Guayaquil, in this way patients are classified as high and low risk, thus avoiding invasive procedures (surgeries, endoscopies and transfusions), and the risks of hospitalization.