Multicentre comparison of the Glasgow Blatchford and Rockall scores in the prediction of clinical end-points after upper gastrointestinal haemorrhage

Autor: George Benson, Harry R. Dalton, Max Groome, Aidan Cahill, Adrian J. Stanley, Oliver Blatchford, Daniel R. Gaya, E Thompson, Craig Mowat, D Ashley, Nikki Hare, Usama Warshow, William R. Murray
Rok vydání: 2011
Předmět:
Zdroj: Alimentary Pharmacology & Therapeutics. 34:470-475
ISSN: 0269-2813
Popis: Aliment Pharmacol Ther 2011; 34: 470–475 Summary Background The Glasgow Blatchford Score (GBS) is increasingly being used to predict intervention and outcome following upper gastrointestinal haemorrhage (UGIH). Aim To compare the GBS with both the admission and full Rockall scores in predicting specific clinical end-points following UGIH. Patients and methods Data on consecutive patients presenting to four UK hospitals were collected. Admission history, clinical and laboratory data, endoscopic findings, treatment and clinical follow-up were recorded. Using ROC curves, we compared the three scores in the prediction of death, endoscopic or surgical intervention and transfusion. Results A total of 1555 patients (mean age 56.7 years) presented with UGIH during the study period. Seventy-four (4.8%) died, 223 (14.3%) had endoscopic or surgical intervention and 363 (23.3%) required transfusion. The GBS was similar at predicting death compared with both the admission Rockall (area under ROC curve 0.804 vs. 0.801) and full Rockall score (AUROC 0.741 vs. 0.790). In predicting endo-surgical intervention, the GBS was superior to the admission Rockall (AUROC 0.858 vs. 0.705; P
Databáze: OpenAIRE
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