在急性非变节性上部胃肠道出血中,30天复出血的风险分析
Xu Wang1, Meiling Yang1, Jianhua Xu2
1The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, China.
概括
在内镜治疗后,ABC评分在预测30天内再次出血的过程中表现出最高的准确性,对于经过内镜治疗后患有急性非的上部胃肠道出血 (ANVUGIB) 的患者. 与AIMS65,Rockall和格拉斯哥-布拉奇福德分数相比,这种评分系统提供了更高的预后价值.
科学领域:
- 胃肠病学 胃肠病学
- 临床医学 临床医学
- 医学评分系统 医学评分系统
背景情况:
- 急性非的上部胃肠道出血 (ANVUGIB) 是一个重大的临床挑战.
- 内镜治疗是ANVUGIB的常见干预措施.
- 准确预测出血风险对于患者管理至关重要.
研究的目的:
- 为了比较四个评分系统的预后准确性:ABC,格拉斯哥-布拉奇福德 (GBS),罗卡尔 (RS) 和AIMS65.5.
- 为了评估这些得分的预测值30天复出血率在内镜治疗ANVUGIB后.
主要方法:
- 分析了93名接受内镜治疗的ANVUGIB患者队列.
- 根据30天的随访,患者被分为复出血 (n=7) 和非复出血 (n=86) 组.
- 使用接收器操作特征 (ROC) 曲线来评估每个评分系统的准确性.
主要成果:
- 在预测30天再出血时,ABC分数表现出最高的准确性 (AUROC:0.65).
- 在预测再出血方面,ABC评分的表现优于AIMS65 (0.56),RS (0.51) 和GBS (0.61).
- 该ABC评分显示出更高的诊断灵敏度,特异性和准确性,用于预测再出血风险.
结论:
- 该ABC分数是最准确的工具,用于预测ANVUGIB患者在内镜治疗后的复出出血.
- 所有评估的评分系统都显示出良好的负预测值,表明低风险患者的复出风险较低.
- 在所有评分系统中,对中高风险患者的预测值有限.
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