A simple prediction score for in-hospital mortality in patients with nonvariceal upper gastrointestinal bleeding
| Autor: | Waku Hatta, Takahiro Dohmen, Motoki Ohyauchi, Sho Fukuda, Katsunori Iijima, Norihiro Hanabata, Tetsuya Tatsuta, Tomohiro Nakamura, Yohei Ogata, Tatsuya Mikami, Atsushi Masamune, Hidemichi Imamura, Kae Sugawara, Yoichi Kakuta, Yasuhiko Abe, Hirotaka Ito, Yasumitsu Araki, Takumi Yanagita, Yusuke Onozato, Jun Nakamura, Tamotsu Matsuhashi, Shuichi Ohara, Tsuyotoshi Tsuji, Takuto Hikichi, Yohei Horikawa, Yutaka Kondo |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Hemorrhage Logistic regression Risk Assessment Severity of Illness Index Cohort Studies Upper Gastrointestinal Tract 03 medical and health sciences 0302 clinical medicine Internal medicine Humans Glasgow-Blatchford score Medicine Hospital Mortality Statistic Aged Retrospective Studies business.industry Gastroenterology Retrospective cohort study Middle Aged Prognosis medicine.disease Comorbidity Colorectal surgery ROC Curve 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Upper gastrointestinal bleeding Gastrointestinal Hemorrhage business Rockall score |
| Zdroj: | Journal of Gastroenterology. 56:758-768 |
| ISSN: | 1435-5922 0944-1174 |
| DOI: | 10.1007/s00535-021-01797-w |
| Popis: | No prediction scores for the mortality of both inpatients and outpatients who developed nonvariceal upper gastrointestinal bleeding (UGIB) without endoscopic findings have been established. We aimed to derive and validate a novel prediction score for in-hospital mortality. We conducted a three-stage, multicenter retrospective study. In the derivation stage, patients with nonvariceal UGIB at six institutions were enrolled to derive the prediction score by logistic regression analysis. External validation of the score was performed to analyze discrimination by patients at six other institutions. Then the performance of this score was compared with that of four existing scores. We enrolled 1380 and 825 patients in the derivation and validation cohorts, respectively. A prediction score (CHAMPS-R Score) comprising seven variables (Charlson Comorbidity Index ≥ 2, in-hospital onset, albumin |
| Databáze: | OpenAIRE |
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