The Performance of a Modified Glasgow Blatchford Score in Predicting Clinical Interventions in Patients with Acute Nonvariceal Upper Gastrointestinal Bleeding: A Vietnamese Prospective Multicenter Cohort Study
| Autor: | Nha Doan Thi Nguyen, Quang Dinh Le, Minh Cao Dinh, Ngoi Huu Dao, Linh Xuan Ho, Cong Minh Hong Vo, Toru Hiyama, Sang Kim Le, Duc Trong Quach, Chung Huu Nguyen |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Blood transfusion medicine.medical_treatment Vietnamese Severity of Illness Index Gastrointestinal hemorrhage Prediction score Endoscopy Gastrointestinal 03 medical and health sciences 0302 clinical medicine Internal medicine Severity of illness medicine Glasgow-Blatchford score Humans Prospective Studies Prospective cohort study Hepatology Receiver operating characteristic business.industry Gastroenterology 030208 emergency & critical care medicine Middle Aged medicine.disease Prognosis Surgery Vietnam Area Under Curve Acute Disease 030211 gastroenterology & hepatology Original Article Upper gastrointestinal bleeding Rockall score business Cohort study |
| Zdroj: | Gut and Liver |
| ISSN: | 2005-1212 1976-2283 |
| Popis: | Background/Aims: To compare the performance of a modified Glasgow Blatchford score (mGBS) to the Glasgow Blatchford score (GBS) and the pre-endoscopic Rockall score (RS) in predicting clinical interventions in Vietnamese patients with acute nonvariceal upper gastrointestinal bleeding (ANVUGIB). Methods: A prospective multicenter cohort study was conducted in five tertiary hospitals from May 2013 to February 2014. The mGBS, GBS, and pre-endoscopic RS scores were prospectively calculated for all patients. The accuracy of mGBS was compared with that of GBS and preendoscopic RS using area under the receiver operating characteristic curve (AUC). Clinical interventions were defined as blood transfusions, endoscopic or radiological intervention, or surgery. Results: There were 395 patients including 128 (32.4%) needing endoscopic treatment, 117 (29.6%) requiring blood transfusion and two (0.5%) needing surgery. In predicting the need for clinical intervention, the mGBS (AUC, 0.707) performed as well as the GBS (AUC, 0.708; p=0.87) and outperformed the pre-endoscopic RS (AUC, 0.594; p |
| Databáze: | OpenAIRE |
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