Clinical application of preoperative Glasgow-Blatchford score and AIMS65 score in predicting the prognosis of patients with non-variceal upper gastrointestinal bleeding after receiving interventional treatment
10.3969/j.issn.1008-794X.2024.09.015
- VernacularTitle:术前Glasgow-Blatchford和AIMS65评分对介入治疗非静脉曲张性上消化道出血患者的预后评估
- Author:
Wei ZHANG
1
;
Minjie XU
;
Long PAN
;
Yifeng YUAN
;
Shilong HAN
Author Information
1. 210008 江苏南京 南京医科大学附属儿童医院放射科
- Keywords:
Glasgow-Blatchford score;
AIMS65 score;
non-variceal upper gastrointestinal bleeding;
transcatheter arterial embolization
- From:
Journal of Interventional Radiology
2024;33(9):1005-1008
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical value of preoperative Glasgow-Blatchford score(GBS)and AIMS65 score in predicting the prognosis of patients with non-variceal upper gastrointestinal bleeding after receiving interventional treatment.Methods The clinical data of 59 patients with non-variceal upper gastrointestinal bleeding,who received transcatheter arterial embolization(TAE)at the Department of Interventional Vascular Surgery,Shanghai Tenth People's Hospital of China between 2018 and 2021,were collected.The clinical value of GBS and AIMS65 score in predicting patient's outcome was analyzed.Results With the preoperative GBS and AIMS65 scores increasing,the mortality also increased.Compared with AIMS65 score(AUC=0.630,0.95％CI:0.494-0.752),GBS(AUC=0.823,95％CI:0.702-0.910)had a higher predictive value for postoperative in-hospital death in patients with non-variceal upper gastrointestinal bleeding after receiving interventional treatment.With a GBS cutoff＞9 points,the Youden index for predicting in-hospital death was 0.54.Conclusion In predicting the postoperative in-hospital death for patients with non-variceal upper gastrointestinal bleeding after receiving TAE,the clinical value of the preoperative GBS score is higher than that of AIMS65 score.
