Saratov JOURNAL of Medical and Scientific Research

Vlasova M.A.

Saratov State Medical University n.a. V. I. Razumovsky, Department of General Surgery

Comparative analysis of assessment methods for operational and anesthetic risks in ulcerative gastroduodenal bleeding

Year: 2015, volume 11 Issue: №3 Pages: 323-327
Heading: Surgery Article type: Original article
Authors: Potakhin S.N., Shapkin Yu.G., Vlasova M.A., Nikitin V.A.
Organization: Saratov State Medical University
Summary:

Aim of the investigation: to conduct a comparative analysis of methods of evaluation of surgical and anesthetic risks in ulcerative gastroduodenal bleeding. Materials and methods. A retrospective analysis ofthe extent of the surgical and anesthetic risks and results of treatment of 71 patients with peptic ulcer bleeding has been conducted in the study. To evaluate the surgical and anesthetic risks classification trees are used, scale ТА. Rockall and prognosis System of rebleeding (SPRK), proposed by N. V. Lebedev et al. in 2009, enabling to evaluate the probability of a fatal outcome. To compare the efficacy ofthe methods the following indicators are used: sensitivity, specificity and prediction of positive result. Results. The study compared the results ofthe risk assessment emergency operation by using these methods with the outcome ofthe operation. The comparison ofthe prognosis results in sensitivity leads to the conclusion that the scales ТА. Rockall and SPRK are worse than the developed method of classification trees in recognizing patients with poor outcome of surgery. Conclusion. The method of classification trees can be considered as the most accurate method of evaluation of surgical and anesthetic risks in ulcerative gastroduodenal bleeding.