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Analysis of risk factors and development of scoring system to predict severity of upper gastrointestinal bleeding in

Wei Zheng1, Linmei Jiang1, Xinyi Jia1

  • 1Department of Gastroenterology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.

Journal of Gastroenterology and Hepatology
|November 22, 2018
PubMed

Insights

This study identified key risk factors for severe upper gastrointestinal bleeding in children. A new scoring system helps assess severity for better clinical management of pediatric gastrointestinal bleeding.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Research
  • Medical Informatics

Background:

  • Upper gastrointestinal bleeding (UGIB) is a serious condition in children.
  • Identifying risk factors and severity is crucial for effective management.

Purpose of the Study:

  • To analyze clinical features and risk factors of UGIB in children.
  • To develop a clinical scoring system for assessing UGIB severity in pediatric patients.

Main Methods:

  • Retrospective cohort study of 224 children hospitalized with UGIB.
  • Statistical analysis of demographic, clinical, and laboratory data.
  • Logistic regression to identify independent risk factors for severe UGIB.

Main Results:

  • Five independent risk factors for severe UGIB identified: poor consciousness, low hemoglobin (<80 g/L), significant hemoglobin drop (>20 g/L), hematochezia, and anemic appearance.
  • A scoring system was developed using these factors, with a total score of 16 and an intervention cutoff of 8.
  • Endoscopy timing impacted etiology detection rates.

Conclusions:

  • The developed scoring system, combined with identified risk factors, is valuable for assessing UGIB severity in children.
  • This tool aids in clinical decision-making for pediatric UGIB cases.
Abstract

Keywords:
childrenrisk factorsscoring systemupper gastrointestinal bleeding

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