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Comparison and validation of several scoring systems for non-variceal upper gastrointestinal bleeding: a

Kyung Ryun In1, Young Eun Oh1, Hee Seok Moon2

  • 1Division of Gastroenterology, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, 282 Munhwa-ro Jung-gu, Daejeon, 35015, South Korea.

Scientific Reports
|November 13, 2024
PubMed

Insights

The ABC score best predicts mortality in non-variceal upper gastrointestinal bleeding (NVUGIB). The MAP(ASH) score effectively identifies rebleeding risk and intervention needs in NVUGIB patients.

Area of Science:

  • Gastroenterology
  • Clinical Medicine
  • Medical Informatics

Background:

  • Non-variceal upper gastrointestinal bleeding (NVUGIB) poses significant clinical challenges.
  • Accurate prediction of outcomes in NVUGIB is crucial for effective patient management.
  • Existing scoring systems for NVUGIB require further validation.

Purpose of the Study:

  • To compare and validate the predictive performance of multiple scoring systems for NVUGIB.
  • To assess the accuracy of Glasgow-Blatchford score (GBS), ABC, MAP(ASH), Japanese, and CHAMPS scores.
  • To determine the optimal scoring system for predicting specific adverse outcomes in NVUGIB.

Main Methods:

  • Retrospective review of 1,241 hospitalized NVUGIB patients.
  • Evaluation of GBS, ABC, MAP(ASH), Japanese, and CHAMPS scores.
  • Assessment of predictive accuracy for in-hospital mortality, rebleeding, and intervention necessity.

Main Results:

  • The ABC score demonstrated the highest accuracy in predicting in-hospital mortality.
  • The MAP(ASH) score was the most effective predictor of rebleeding and need for interventions.
  • Different scoring systems show varied strengths for specific clinical outcomes.

Conclusions:

  • The ABC score is optimal for predicting mortality in NVUGIB.
  • The MAP(ASH) score excels in identifying rebleeding risks and intervention requirements.
  • Tailoring scoring tool selection to clinical scenarios can enhance NVUGIB patient management and resource allocation.

Keywords:
MortalityScoring systemsUpper gastrointestinal bleeding. Endoscopy

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