Quick SOFA vs Rockall preendoscopy scores for risk assessment in patients with nonvariceal upper gastrointestinal bleeding: a retrospective cohort study
| Autor: | Maria N. Astafyeva, Vladimir A. Bagin, Evgenii Nishnevich, Evgenii Tarasov, Prudkov Mi, Vladimir A. Rudnov |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Rockall score 03 medical and health sciences 0302 clinical medicine Internal medicine medicine 030212 general & internal medicine Mortality NVUGB Original Research Receiver operating characteristic business.industry Mortality rate lcsh:Medical emergencies. Critical care. Intensive care. First aid 030208 emergency & critical care medicine Retrospective cohort study Emergency department lcsh:RC86-88.9 medicine.disease qSOFA score Confidence interval Forrest classification Emergency Medicine Upper gastrointestinal bleeding Nonvariceal upper gastrointestinal bleeding business Prediction scores |
| Zdroj: | International Journal of Emergency Medicine International Journal of Emergency Medicine, Vol 12, Iss 1, Pp 1-8 (2019) |
| ISSN: | 1865-1380 1865-1372 |
| Popis: | Background Several scoring systems are used to evaluate the severity of nonvariceal upper gastrointestinal bleeding (NVUGB) and the risk of rebleeding or death. The most commonly used scoring systems include the Rockall score, Glasgow-Blatchford score, and Forrest classification. However, the use of simpler definitions, such as the quick Sequential Organ Failure Assessment (qSOFA) score, to make a clinical decision is reasonable in areas with limited time and/or material resources and in low- and middle-income countries. Methods Patients with NVUGB whose medical records included information required to calculate the qSOFA and Rockall preendoscopy scores at the time of bleeding in the emergency department or another non-intensive care unit department were included in the study. The area under the receiver operating characteristic curve (AUROC) and 95% confidence interval (95% CI) were estimated for the ability of the qSOFA and Rockall preendoscopy scores to predict mortality. Results The qSOFA and Rockall preendoscopic scores at the time of bleeding confirmation could be calculated for 218 patients. The mortality rate increased from 3.4% in patients with a qSOFA score = 0 to 88.9% in patients with a qSOFA score = 3 (P |
| Databáze: | OpenAIRE |
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