A New Scoring System to Predict Poor Clinical Outcomes in Acute Nonvariceal Upper Gastrointestinal Bleeding Patients with High-Risk Stigmata
المؤلفون المشاركون
Dong, Zhiyu
Wang, Junwen
Zhan, Tingting
Zhang, Haiqin
Yi, Lisha
Xu, Shu-Chang
المصدر
Gastroenterology Research and Practice
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-03-12
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Aims.
To explore the risk factors for rebleeding in acute nonvariceal upper gastrointestinal bleeding patients with high-risk stigmata after endoscopic hemostasis and to develop a new scoring system for them.
Methods.
A retrospective single-center study was conducted from January 2012 to June 2017.
The logistic regression model was used to explore risk factors of poor clinical outcomes.
Accuracy of new scoring systems was compared with Rockall score (RS) and Glasgow-Blatchford score (GBS) using receiver operating characteristics curve.
Results.
Two hundred nine patients were included.
In multivariate regression analysis, systolic blood pressure, endoscopic hemostasis method, hemoglobin, blood urea nitrogen, and serum creatinine were identified as indicators for rebleeding.
New scoring systems with 4 variables and 5 variables based on these 5 risk factors were chosen.
The 4-variable scoring system outperformed GBS in predicting rebleeding while 5-variable scoring system outperformed RS and GBS in predicting rebleeding significantly.
Score 2 was identified as the best cut-off of these 2 scoring systems.
Conclusions.
Systolic blood pressure, endoscopic hemostasis method, hemoglobin, blood urea nitrogen, and serum creatinine were all associated with poor clinical outcomes.
The new scoring systems had greater accuracy than RS and GBS in predicting rebleeding.
Further external validation should be performed to verify the results.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Dong, Zhiyu& Wang, Junwen& Zhan, Tingting& Zhang, Haiqin& Yi, Lisha& Xu, Shu-Chang. 2018. A New Scoring System to Predict Poor Clinical Outcomes in Acute Nonvariceal Upper Gastrointestinal Bleeding Patients with High-Risk Stigmata. Gastroenterology Research and Practice،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1160062
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Dong, Zhiyu…[et al.]. A New Scoring System to Predict Poor Clinical Outcomes in Acute Nonvariceal Upper Gastrointestinal Bleeding Patients with High-Risk Stigmata. Gastroenterology Research and Practice No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1160062
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Dong, Zhiyu& Wang, Junwen& Zhan, Tingting& Zhang, Haiqin& Yi, Lisha& Xu, Shu-Chang. A New Scoring System to Predict Poor Clinical Outcomes in Acute Nonvariceal Upper Gastrointestinal Bleeding Patients with High-Risk Stigmata. Gastroenterology Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1160062
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1160062
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر