1. Evaluation of scoring systems without endoscopic findings for predicting outcomes in patients with upper gastrointestinal bleeding
- Author
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Jung Won Jeon, Bok Soon Chang, Sung Eun Kim, Jin Hee Han, Il-Gyu Ko, Joung Il Lee, Jin Young Yoon, Hyun Phil Shin, Sang-Hyun Kim, Min Seob Kwak, and Jae Myung Cha
- Subjects
Male ,medicine.medical_specialty ,Scoring system ,30-day mortality ,Need of interventions ,Risk Assessment ,Sensitivity and Specificity ,Severity of Illness Index ,Endoscopy, Gastrointestinal ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Severity of illness ,medicine ,Cutoff ,Humans ,In patient ,Blood Transfusion ,lcsh:RC799-869 ,Upper gastrointestinal bleeding ,Aged ,Retrospective Studies ,Aged, 80 and over ,business.industry ,Hemostatic Techniques ,Gastroenterology ,Retrospective cohort study ,General Medicine ,Hepatology ,Middle Aged ,medicine.disease ,Prognosis ,ROC Curve ,030220 oncology & carcinogenesis ,Area Under Curve ,lcsh:Diseases of the digestive system. Gastroenterology ,030211 gastroenterology & hepatology ,Female ,Rockall score ,business ,Risk assessment ,Prediction ,Gastrointestinal Hemorrhage ,Research Article - Abstract
Background Risk scoring systems are used to evaluate patients with upper gastrointestinal bleeding (UGIB). We compared Glasgow-Blatchford score (GBS), modified GBS (mGBS), and Pre-endoscopy Rockall score (Pre-E RS) for immediate application without endoscopic findings in predicting the need of interventions and the 30-day mortality in patients with UGIB. Methods Patients who visited the emergency room with UGIB from January 2007 to June 2016 were included. GBS, mGBS, and Pre-E RS were obtained for all patients. The area under the receiver-operating characteristic curves (AUC) was used to assess the accuracy of the scoring systems to determine the need for interventions and 30-day mortality. Also, we investigated the potential cutoff scores for predicting 30-day mortality and the need for interventions. Results In predicting the need for interventions, GBS (AUC = 0.727) and mGBS (AUC = 0.733) outperformed Pre-E RS (AUC = 0.564, P
- Published
- 2017