用于预测急性下胃肠道出血的临床结果的评分系统的比较:一项前性队列研究
Kamales Prasitvarakul1, Nawawich Attanath2, Arunchai Chang3
1Division of Minimally Invasive Surgery, Department of Surgery, Hatyai Hospital, Hatyai, Songkhla, Thailand.
World journal of surgery
|April 30, 2024
概括
奥克兰和格拉斯哥-布拉奇福德得分有效预测严重的下胃肠道出血 (LGIB),输血和死亡率,优于AIMS65得分. 这些分数为LGIB患者分层提供了可比的性能.
科学领域:
- 胃肠病学 胃肠病学
- 临床结果研究研究
- 医疗信息学 医疗信息学
背景情况:
- 急性下胃肠道出血 (LGIB) 带来了重大的临床挑战.
- 准确预测LGIB严重程度和结果对于患者管理至关重要.
- 现有的评分系统需要验证以获得最佳的临床效用.
研究的目的:
- 评估奥克兰,格拉斯哥-布拉奇福德 (GBS) 和AIMS65评分对急性LGIB的预测性表现.
- 为了比较这些得分在预测严重LGIB,需要输血,静血干预,再出血和死亡率方面的有效性.
- 为了确定最适合的分数系统来分层LGIB患者.
主要方法:
- 从2020年7月到2021年7月,对150名急性LGIB患者进行前性队列研究.
- 计算所有注册患者的奥克兰,GBS和AIMS65分数.
- 使用接收器运行特征曲线和多变量逻辑回归来分析性能.
主要成果:
- 奥克兰和GBS得分显示了严重的LGIB,输血需求和死亡率的可比且强大的预测性能.
- 与奥克兰和GBS相比,AIMS65得分显示这些结果的表现较差.
- 这三个评分都在预测需要静血干预和住院再出血方面都不理想.
结论:
- 奥克兰分数和GBS是严重LGIB,输血和住院死亡率的优秀和可比的预测指标.
- GBS可以被视为可靠的替代评分系统,用于分层急性LGIB患者.
- 可能需要进一步的研究来改善血静干预和再出血的预测.
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