A New Scoring System to Predict Poor Clinical Outcomes in Acute Nonvariceal Upper Gastrointestinal Bleeding Patients with High-Risk Stigmata
Joint Authors
Dong, Zhiyu
Wang, Junwen
Zhan, Tingting
Zhang, Haiqin
Yi, Lisha
Xu, Shu-Chang
Source
Gastroenterology Research and Practice
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-03-12
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1160062