评估格拉斯哥布拉奇福德评分上胃肠道出血风险分层在社区医院:一个回顾性研究
Hind H Neamah1,2, Alexandra Davies3,4, Anthony Teta1,2
1Department of Internal Medicine, Mount Clemens, MI, USA McLaren Health Care- Macomb Hospital.
Spartan medical research journal
|May 12, 2025
概括
格拉斯哥布拉奇福得分 (GBS) 有助于评估上部胃肠道出血 (UGIB) 的严重程度. 10的GBS截止值显示预测干预措施的敏感性较低,这表明需要在UGIB管理中进行精细的评分.
科学领域:
- 胃肠病学 胃肠病学
- 临床风险分层的临床风险分层
- 医疗信息学 医疗信息学
背景情况:
- 上部胃肠道出血 (UGIB) 是一个常见的胃肠道紧急情况.
- 格拉斯哥布拉奇福得分 (GBS) 是UGIB风险分层的一个工具.
- 目前用于预测干预,治疗和死亡率的GBS截止值缺乏一致性.
研究的目的:
- 确定平均GBS得分与需要静血干预和输血之间的关系.
- 评估UGIB患者的护理质量和资源配置.
- 评估GBS在中西部社区医院环境中的实用性.
主要方法:
- 患者 (≥18岁) 的回顾性横截面研究入院UGIB和接受食道胃管透镜 (2020年7月 - 2018年7月).
- 计算每位患者的GBS.
- 多变量分析和后勤回归用于预测GBS得分,赔率比率,以及与静血干预和输血相关联,控制混因素.
主要成果:
- 平均GBS为11.17的时间.
- 需要静血干预 (平均GBS 13.18) 和输血 (平均GBS 13.57) 的患者得分明显更高.
- GBS>10与输血 (OR 21.84) 和静血干预 (OR 5.085) 的几率增加有关.
- 10的GBS截止值表明血液静止干预的敏感性低 (22.41%),对输血的敏感性中等 (66.67%).
结论:
- GBS在分层化UGIB严重程度的临床作用超过2分的得分.
- 在10的GBS截止值的灵敏度很低,用于预测UGIB的干预.
- 为了有效地对危及生命的UGIB风险进行分层,需要更敏感的GBS切线.
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