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.
초록· 키워드
오류제보하기
Purpose: Upper gastrointestinal bleeding (UGIB) is one of the most common causes of emergency department (ED) presentation which can lead to a fatal condition. Many clinical scoring systems intended to predict the prognosis of UGIB patients were developed and validated, including Glasgow-Blatchford score (GBS) and Rockall score (RS).
In particular, GBS has shown its superiority in prediction of mortality, the necessity of endoscopic intervention and admission, compared with other scoring systems, in recent studies. However, GBS does not include the age of the patient as its component and has clearly shown its efficacy only in subjects under age 70. Hence, we aimed to assess whether GBS could also be used in old age UGIB patients as a useful risk stratifying method as in younger age.
Methods: UGIB patients who visited our ED for one year were retrospectively enrolled in the analysis. Medical records of the subjects were reviewed, and their GBS and clinical RS were calculated. Receiver-operating characteristics (ROC) curve of each score in prediction of high risk UGIB was drawn and area under curve (AUC) was calculated.
Correlation analysis of each score and hospital length of stay was also performed. To assess the validity of each score for use in old age patients, all analyses were also performed in subgroups of age over 60 years, and under that.
Results: ROC curves suggest that GBS has significant detecting power for high risk UGIB in overall subjects, subgroups of age over 60 and under (p=<0.001 for all, AUC= 0.919, 0.935, 0.901, respectively). Otherwise, clinical RS only showed significant results in overall group and subgroup of age over 60 with lower AUC.
Conclusion: GBS may also be used safely as an initial risk stratifying method in old age UGIB patients visiting the ED, as in other age groups.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Van Leerdam ME / 2003 / Acute upper GI bleeding : did anything change? Time trend analysis of incidence and outcome of acute upper GI bleeding between 1993/1994 and 2000 / Am J Gastroenterol 98:1494~1499
Rockall TA / 1996 / Selection of patients for early discharge or outpatient care after acute upper gastrointestinal haemorrhage. National Audit of Acute Upper Gastrointestinal Haemorrhage / Lancet 347:1138~1140
Barkun A / 2004 / The Canadian Registry on Nonvariceal Upper Gastrointestinal Bleeding and Endoscopy (RUGBE): Endoscopic hemostasis and proton pump inhibition are associated with improved outcomes in a real-life setting / Am J Gastroenterol 99:1238~1246
Rockall TA / 1996 / Risk assessment after acute upper gastrointestinal haemorrhage / Gut 38:316~321
Rockall TA / 1997 / Influencing the practice and outcome in acute upper gastrointestinal haemorrhage / Steering Committee of the National Audit of Acute Upper Gastrointestinal Haemorrhage. Gut 41:606~611
Rockall TA / 1996 / Selection of patients for early discharge or outpatient care after acute upper gastrointestinal haemorrhage. National Audit of Acute Upper Gastrointestinal Haemorrhage / Lancet 347:1138~1140
Barkun A / 2004 / The Canadian Registry on Nonvariceal Upper Gastrointestinal Bleeding and Endoscopy (RUGBE): Endoscopic hemostasis and proton pump inhibition are associated with improved outcomes in a real-life setting / Am J Gastroenterol 99:1238~1246
Rockall TA / 1996 / Risk assessment after acute upper gastrointestinal haemorrhage / Gut 38:316~321
Rockall TA / 1997 / Influencing the practice and outcome in acute upper gastrointestinal haemorrhage / Steering Committee of the National Audit of Acute Upper Gastrointestinal Haemorrhage. Gut 41:606~611
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