Effectiveness of Combined Application of Shock Index and Early Warning Scoring System in Patients with Acute Gastrointestinal Hemorrhage

Abstract

Objective: To explore the effect of the combined application of the Shock Index (SI) and the Early Warning Score (EWS) in patients with acute gastrointestinal bleeding. Methods: Seventy patients with acute gastrointestinal bleeding admitted to a hospital from June 2022 to May 2024 were selected and randomly divided into two groups: the control group and the observation group, with 35 patients in each group. The control group received conventional emergency care measures, while the observation group received SI combined with NEWS emergency care measures. The treatment effects in both groups were compared. Results: The observation group had shorter waiting times for consultation (4.45 ± 1.59 minutes), intravenous access establishment (6.79 ± 2.52 minutes), hemostasis time (4.41 ± 1.52 hours), and hospital stays (8.39 ± 2.13 days) compared to the control group, which had times of 5.46 ± 1.34 minutes, 8.41 ± 2.16 minutes, 5.16 ± 1.47 hours, and 10.26 ± 2.98 days, respectively. The differences were statistically significant (P < 0.05). Before management, there were no significant differences in the levels of hemoglobin, prealbumin, and serum protein between the two groups (P > 0.05). However, after systematic emergency management, the serum indexes in both groups significantly improved, with the observation group showing greater improvement than the control group, and these differences were statistically significant (P < 0.05). In the observation group, only one case of cardiovascular complications occurred during the rescue period, with an incidence rate of 2.86%. In contrast, the control group experienced eight cases of complications, including hemorrhagic shock, anemia, multi-organ failure, cardiovascular complications, and gastrointestinal rebleeding, with an incidence rate of 22.85%. The difference between the groups was statistically significant (P < 0.05). Conclusion: The application of SI combined with EWS emergency care measures in patients with acute gastrointestinal hemorrhage can effectively improve serum indexes, shorten resuscitation time and hospital stay, and reduce the risk of complications such as hemorrhagic shock, anemia, infection, multi-organ failure, cardiovascular complications, acute renal failure, and gastrointestinal rebleeding. This approach has positive clinical application value.