MAP(ASH): A new scoring system for the prediction of intervention and mortality in upper gastrointestinal bleeding
| Autor: | Jing Hieng Ngu, Francisco Vadillo-Calles, Harry R. Dalton, Eduardo Redondo-Cerezo, Rita Jiménez-Rosales, Loren Laine, Stig Borbjerg Laursen, Adrian J. Stanley, Michael Schultz |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Risk medicine.medical_specialty Blood transfusion medicine.medical_treatment Admission Rockall score MAP(ASH) score Internal medicine Outcome Assessment Health Care medicine Glasgow-Blatchford score Humans Prospective Studies Glasgow Blatchford score Upper gastrointestinal bleeding Aged Aged 80 and over Framingham Risk Score Hepatology Receiver operating characteristic medicine.diagnostic_test business.industry Gastroenterology Interventional radiology Endoscopy Middle Aged medicine.disease Confidence interval Databases as Topic Research Design Cohort Female business Emergency Service Hospital Gastrointestinal Hemorrhage AIMS65 |
| Zdroj: | Redondo-Cerezo, E, Vadillo-Calles, F, Stanley, A J, Laursen, S, Laine, L, Dalton, H R, Ngu, J H, Schultz, M & Jiménez-Rosales, R 2020, ' MAP(ASH) : A new scoring system for the prediction of intervention and mortality in upper gastrointestinal bleeding ', Journal of Gastroenterology and Hepatology (Australia), vol. 35, no. 1, pp. 82-89 . https://doi.org/10.1111/jgh.14811 |
| ISSN: | 1440-1746 |
| Popis: | Background and Aim: Risk stratification for upper gastrointestinal bleeding (UGIB) is recommended. However, scoring system accuracy is suboptimal, and score calculation can be complex. Our aim was to develop a new score, the MAP(ASH) score, with information available in the emergency room and to validate it. Methods: The score was built from a prospective database of patients with UGIB and validated in an international database of 3012 patients from six hospitals. Outcomes were 30-day mortality, endoscopic intervention, any intervention (red blood transfusion, endoscopic treatment, interventional radiology, surgery, or death), and rebleeding. Accuracy to predict outcomes was assessed by the area under the receiver operating characteristic curve (AUROC). Results: Five hundred forty-seven patients were included in the development cohort. Impaired mental status, albumin 100, American Society of Anesthesiologists score > 2, systolic blood pressure |
| Databáze: | OpenAIRE |
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