在上胃肠道出血中风险评分的审查
Josh Orpen-Palmer1, Adrian J Stanley1
1Department of Gastroenterology, Glasgow Royal Infirmary, Glasgow G4 0SF, UK.
Journal of clinical medicine
|June 10, 2023
概括
格拉斯哥布拉奇福得分有效地识别了患上部胃肠道出血 (UGIB) 的非常低风险患者,以确保安全的门诊治疗. 目前的风险评分很难准确预测高风险的不良事件,但人工智能对未来的动态风险评估充满希望.
科学领域:
- 胃肠病学 胃肠病学
- 紧急医疗 紧急医疗
- 医疗信息学 医疗信息学
背景情况:
- 上部胃肠道出血 (UGIB) 是一个频繁的医疗紧急情况,需要立即评估和复苏.
- 风险分层对于指导患者管理至关重要,区分低风险和高风险个体.
- 经验证的风险评分有助于确定是否需要住院治疗或门诊护理.
研究的目的:
- 评估风险评分在管理上部胃肠道出血方面的有用性.
- 为了确定最佳的风险分数,以安全地出院非常低风险的患者.
- 探索新兴技术的潜力,以改善UGIB中的风险预测.
主要方法:
- 关于上部胃肠道出血管理和风险分层工具的当前文献的综述.
- 分析已建立的风险评分的表现,特别是格拉斯哥布拉奇福德评分.
- 检查机器学习和人工智能在预测UGIB结果中的演变作用.
主要成果:
- 格拉斯哥布拉奇福得分 (0-1) 在识别适合门诊管理的非常低风险UGIB患者方面表现出高准确性.
- 现有的风险评分在一致和准确地识别高风险患者和特定不良事件方面存在局限性.
- 机器学习和人工智能模型显示了在UGIB中增强动态风险评估的潜力.
结论:
- 格拉斯哥布拉奇福德评分 (Glasgow Blatchford Score) 是一项推的工具,用于对精选的极低风险UGIB患者进行安全的门诊治疗.
- 需要改进风险预测工具,以准确识别高风险的UGIB患者.
- 人工智能和机器学习的未来进展预计将大大改善UGIB中的风险评估和患者结果.
更多相关视频
05:50Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
Published on: September 22, 2023
3.0K
15:49Flexible Colonoscopy in Mice to Evaluate the Severity of Colitis and Colorectal Tumors Using a Validated Endoscopic Scoring System
Published on: October 16, 2013
31.9K
相关概念视频
01:28Esophageal Varices-II: Clinical Features and Management
100
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
100
01:30Peptic Ulcer Disease I: Introduction
217
Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
217
01:24Esophageal Varices-I: Introduction
203
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
203
01:17Assessment of the Gastrointestinal System I: Subjective Data
235
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
235
01:23Gastritis III: Clinical Manifestations and Management
342
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
342
01:12Relative Risk
238
Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
238