Evaluation of Six Preendoscopy Scoring Systems to Predict Outcomes for Older Adults with Upper Gastrointestinal Bleeding

Evaluation of Six Preendoscopy Scoring Systems to Predict Outcomes for Older Adults with Upper Gastrointestinal Bleeding

Objectives. To compare the ability of six preendoscopic scoring systems (ABC, AIMS65, Glasgow Blatchford score (GBS), MAP(ASH), pRS, and T-score) to predict outcomes of upper gastrointestinal bleeding (UGIB) in older adults. Methods. This was a retrospective study of 602 older adults (age≥65) presen...

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Veröffentlicht in:Gastroenterology research and practice 2022-01, Vol.2022, p.9334866-8
Hauptverfasser: Li, Yajie, Lu, Qin, Wu, Kexuan, Ou, Xilong
Format: Artikel
Sprache:eng
Schlagworte:
Age
Analysis
Anti-inflammatory agents
Anticoagulants
Blood pressure
Blood tests
Blood transfusions
China
Clopidogrel
Comorbidity
Creatinine
Diabetes
Disease
Endoscopy
Gastrointestinal bleeding
Health aspects
Hematemesis
Hemoglobin
Hypertension
Intensive care
Intervention
Medical personnel
Mortality
Nonsteroidal anti-inflammatory drugs
Older people
Patients
Prognosis
Risk assessment
United Kingdom
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Zusammenfassung:Objectives. To compare the ability of six preendoscopic scoring systems (ABC, AIMS65, Glasgow Blatchford score (GBS), MAP(ASH), pRS, and T-score) to predict outcomes of upper gastrointestinal bleeding (UGIB) in older adults. Methods. This was a retrospective study of 602 older adults (age≥65) presenting with UGIB at Zhongda Hospital Southeast University from January 2015 to June 2021. Six scoring systems were used to analyze all patients. Results. ABC had the largest area under the curve (AUC) (0.833; 95% confidence interval (CI): 0.801–0.862) and was significantly higher than pRS 0.696 (95% CI: 0.658–0.733, p
ISSN:1687-6121
1687-630X
DOI:10.1155/2022/9334866