Assessment of the risk of recurrence of peptic ulcer bleeding scale: a new tool for assessing relapse and choosing treatment tactics
A. A. Karpov,
D. S. Bocharnikov,
A. A. Kolotilshchikov,
R. Yu. Maer,
A. V. Mishchenko,
K. A. Sokolov https://doi.org/10.17238/2072-3180-2025-4-36-42
Abstract
Introduction. Peptic ulcer bleeding is still the main reason for hospitalization and maintains a high mortality rate. Dividing patients by the risk of recurrence will allow identifying the most vulnerable group of patients and choosing the optimal treatment strategy.
Study purpose. To create a scale for assessing the risk of recurrence of ulcerative bleeding to stratify risks and determine treatment tactics.
Materials and methods. The study included 160 patients with ulcerative bleeding. Factors were compared to assess the effect on relapse: NSAIDs, anticoagulants, antiplatelet agents, corticosteroids; hypocoagulation; ulcer location and size, bleeding vessel size, the type of inflammatory process, Forrest type of bleeding, Rockall scores. To assess the risk of recurrence, the Rockall scale and the ulcerative bleeding risk assessment scale were compared.
Results. ANOVA using Fischer's F-test was performed to determine statistically significant differences between the selected factors and relapse. The intake of NSAIDs (Fgr = 1,88, Femp = 1,63), antiplatelet agents (Fgr = 1,88, Femp = 1,61), and hypocoagulation (Fgr = 1,88, Femp = 1,39) were insignificant. Based on the data obtained, a scale of scoring indicators is formed, the sum of which determines the degree of risk of relapse and treatment tactics.
Conclusion. The ulcerative bleeding Recurrence Risk Assessment scale is an effective tool for assessing recurrence. It can be used in clinical practice.
About the Authors
A. A. Karpov
Botkin Hospital;
Russian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Karpov Aleksej Andreevich – Doctor of Medical Sciences, Associate Professor of the Department of surgery; Deputy chief physician (surgical department)
125284, st. 2nd Botkinsky proezd, 5, Moscow;
123242, Moscow
D. S. Bocharnikov
Botkin Hospital
Russian Federation
Russian Federation
Bocharnikov Dmitrii Stepanovich – Head of the Department of Emergency Surgical Care No. 75
125284, st. 2nd Botkinsky proezd, 5, Moscow
A. A. Kolotilshchikov
Botkin Hospital
Russian Federation
Russian Federation
Kolotil'shchikov Andrej Aleksandrovich – Candidate of Medical Sciences, Head of the Department of Emergency Surgical Care № 75
125284, st. 2nd Botkinsky proezd, 5, Moscow
R. Yu. Maer
Botkin Hospital;
Research Institute for Healthcare Organization and Medical Management
Russian Federation
Russian Federation
Maer Ruslan Yur'evich – Candidate of Medical Sciences, Head of the Organizational and Methodological Department; Surgeon of the Department of Hepatopancreatobiliary Surgery № 50
125284, st. 2nd Botkinsky proezd, 5, Moscow;
115088, Moscow
A. V. Mishchenko
Botkin Hospital
Russian Federation
Russian Federation
Mishchenko Anastasiya Viktorovna – surgeon of the Department of emergency surgical care № 75
125284, st. 2nd Botkinsky proezd, 5, Moscow
K. A. Sokolov
Botkin Hospital
Russian Federation
Russian Federation
Sokolov Kirill Anatolevich – surgeon of the Department of emergency surgical care № 75
125284, st. 2nd Botkinsky proezd, 5, Moscow
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For citations:
Karpov A.A., Bocharnikov D.S., Kolotilshchikov A.A., Maer R.Yu., Mishchenko A.V., Sokolov K.A. Assessment of the risk of recurrence of peptic ulcer bleeding scale: a new tool for assessing relapse and choosing treatment tactics. Moscow Surgical Journal. 2025;(4):36-42. (In Russ.) https://doi.org/10.17238/2072-3180-2025-4-36-42
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