지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 368 - 374 (7page)
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초록· 키워드
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Purpose: After trauma and surgery, upper gastrointestinal bleeding (UGIB) is the most common condition that can require massivetransfusion (MT). The present study aimed to analyze and compare the prognostic performance of the Glasgow-Blatchford(GB), pre-endoscopy Rockall (PER), and modified early warning (MEW) scores for predicting MT in patients with unstable UGIB. Materials and Methods: This retrospective observational study included patients with UGIB from March 2016 to February 2018. Receiver operating characteristics analysis was performed to examine the prognostic performance of the GB, PER, and MEWscoring systems. Logistic regression analysis was used to identify independent risk factors for MT, after adjusting for relevant covariates. The primary outcome was MT. Results: Of the 484 included patients with unstable UGIB, 19 (3.9%) received an MT. The areas under the curves (AUCs) of the GB,PER, and MEW scores for MT were 0.577 [95% confidence interval (CI), 0.531–0.621], 0.570 (95% CI, 0.525–0.615), and 0.767 (95%CI, 0.727–0.804), respectively. The AUC of the MEW score was significantly different from those of the GB and PER scores. In multivariateanalysis, MEW score was independently associated with MT in patients with unstable UGIB (odds ratio, 1.495; 95% CI,1.100–2.033; p=0.010). Conclusion: In unstable UGIB patients, MEW score had the best prognostic performance for MT among three scoring systems.
목차
등록된 정보가 없습니다.
참고문헌 (27)
참고문헌 신청
Abd Elrazek AE / 2015 / The value of U/S to determine priority for upper gastrointestinal endoscopy in emergency room / Medicine (Baltimore) 94:e2241
Sanders DS / 2004 / Effectiveness of an upper-gastrointestinal haemorrhage unit : a prospective analysis of 900 consecutive cases using the Rockall score as a method of risk standardisation / Eur J Gastroenterol Hepatol 16:487~494
Kumar NL / 2016 / Initial management and timing of endoscopy in nonvariceal upper GI bleeding / Gastrointest Endosc 84:10~17
Srygley FD / 2012 / Does this patient have a severe upper gastrointestinal bleed? / JAMA 307:1072~1079
Halmin M / 2016 / Epidemiology of massive transfusion : a binational study from Sweden and Denmark / Crit Care Med 44:468~477
Sanders DS / 2004 / Effectiveness of an upper-gastrointestinal haemorrhage unit : a prospective analysis of 900 consecutive cases using the Rockall score as a method of risk standardisation / Eur J Gastroenterol Hepatol 16:487~494
Kumar NL / 2016 / Initial management and timing of endoscopy in nonvariceal upper GI bleeding / Gastrointest Endosc 84:10~17
Srygley FD / 2012 / Does this patient have a severe upper gastrointestinal bleed? / JAMA 307:1072~1079
Halmin M / 2016 / Epidemiology of massive transfusion : a binational study from Sweden and Denmark / Crit Care Med 44:468~477
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