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[Computer-assisted analysis of the prognosis in patients with upper gastrointestinal hemorrhage]
V Garrigues Gil1, J Ponce García, F Martínez Salazar
1Servicio de Medicina Digestiva, Hospital La Fe, Valencia.
Insights
Computer assistance and a clinical scoring system improved upper gastrointestinal bleeding prognosis. Combining computer, clinical, and objective data yielded the best patient outcome predictions.
Area of Science:
- Gastroenterology
- Medical Informatics
- Clinical Prognostics
Abstract:
The prognosis of 189 patients with upper gastrointestinal bleeding was studied with the assistance of a computer. The safety of the prognosis given by the doctor was partially improved with the computer. However, when both judgements were simultaneously considered, the best results were obtained. A scoring-system constructed with simple clinical data proved useful to obtain prognostic judgements with high sensitivity and specificity. It is concluded that the reliability of the prognosis given in patients with upper gastrointestinal bleeding can be improved with objective methods. The improvement is maximal if objective information is evaluated together with clinical information.