在上部胃肠道出血中,ABC分数是30天死亡率的更好的预测指标:一项前性单中心研究
Vikas Pemmada1, Athish Shetty1, Shiran Shetty1
1Department of Gastroenterology and Hepatology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, 576 104, India.
新的ABC分数 (年龄,血液检测,并发症) 有效预测上部胃肠道出血 (UGIB) 患者的死亡率,优于现有系统. 这一分数对于识别高风险的水出血病例尤为有价值.
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:
- 急性上部胃肠道出血 (UGIB) 具有大约10%的显著死亡风险.
- 现有的前内镜评分系统在预测UGIB相关死亡率方面缺乏准确性.
- 需要改善UGIB结果的预测工具.
研究的目的:
- 为了比较新的ABC分数 (年龄,血液测试,并发症) 与已建立的UGIB死亡率评分系统的预测准确度.
- 为了评估不同UGIB子组的ABC分数的表现.
主要方法:
- 在印度 (2022-2023) 进行的一项前性单中心研究.
- 在48小时内包括296名18岁以上的UGIB患者.
- 将其分为 (V) 和非 (NV) 的UGIB队列,并进行30天的随访.
主要成果:
- 总体死亡率为9.8%,在水出血组的死亡率更高 (8.7%对1.1%).
- 与其他系统相比,ABC评分显示出最高的预测准确性 (AUROC 0.75).
- 在预测水出血 (AUROC 0.76) 的死亡率方面,ABC评分显示出比非水出血 (AUROC 0.64) 的死亡率更有意义.
- 低albuminemia和>3次输血被确定为显著的死亡率预测因素.
结论:
- 与现有分数相比,ABC分数是UGIB患者30天死亡率的优异预测指标.
- 该ABC分数可能提供增强的预测价值的死亡率在的UGIB病例.
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