Use of the NOBLADS Score to Predict Endoscopic Treatment in Patients with Colonic Diverticular Bleeding by Age Stratification

Objective A high NOBLADS score reflecting the severity of lower gastrointestinal bleeding contributes to the identification of stigmata of recent hemorrhage (SRH) in colonic diverticular bleeding (CDB). The burden of colonoscopy is particularly high in elderly patients; therefore, we investigated th...

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Veröffentlicht in:Internal Medicine 2022/10/15, Vol.61(20), pp.3009-3016
Hauptverfasser: Takasu, Ayaka, Ikeya, Takashi, Shiratori, Yasutoshi, Dai, Zhehao, Yoshimoto, Takaaki, Yamamoto, Kazuki, Okamoto, Takeshi, Okuyama, Shuhei, Takagi, Koichi, Fukuda, Katsuyuki
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Sprache:eng
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Zusammenfassung:Objective A high NOBLADS score reflecting the severity of lower gastrointestinal bleeding contributes to the identification of stigmata of recent hemorrhage (SRH) in colonic diverticular bleeding (CDB). The burden of colonoscopy is particularly high in elderly patients; therefore, we investigated the utility of the NOBLADS score for managing CDB by age stratification. The NOBLADS score performance in SRH prediction was estimated by the area under the receiver operating characteristic calculation and a multiple logistic regression model. Methods This was a single-center, retrospective cohort study. Patients who underwent initial colonoscopy with CDB between April 2008 and December 2019 were divided into a young group (
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.9202-21