The Performance of a Modified Glasgow Blatchford Score in Predicting Clinical Interventions in Patients with Acute Nonvariceal Upper Gastrointestinal Bleeding: A Vietnamese Prospective Multicenter Cohort Study.
- Author:
Duc Trong QUACH
1
;
Ngoi Huu DAO
;
Minh Cao DINH
;
Chung Huu NGUYEN
;
Linh Xuan HO
;
Nha Doan Thi NGUYEN
;
Quang Dinh LE
;
Cong Minh Hong VO
;
Sang Kim LE
;
Toru HIYAMA
Author Information
1. Department of Internal Medicine, University of Medicine and Pharmacy, Hochiminh City Vietnam. drquachtd@ump.edu.vn
- Publication Type:Multicenter Study ; Original Article
- Keywords:
Gastrointestinal hemorrhage;
Prediction score;
Prognosis;
Vietnamese
- MeSH:
Asian Continental Ancestry Group*;
Blood Transfusion;
Cohort Studies*;
Gastrointestinal Hemorrhage;
Hemorrhage*;
Humans;
Prognosis;
Prospective Studies*;
ROC Curve;
Tertiary Care Centers
- From:Gut and Liver
2016;10(3):375-381
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND/AIMS: To compare the performance of a modified Glasgow Blatchford score (mGBS) to the Glasgow Blatchford score (GBS) and the pre-endoscopic Rockall score (RS) in predicting clinical interventions in Vietnamese patients with acute nonvariceal upper gastrointestinal bleeding (AN-VUGIB). METHODS: A prospective multicenter cohort study was conducted in five tertiary hospitals from May 2013 to February 2014. The mGBS, GBS, and pre-endoscopic RS scores were prospectively calculated for all patients. The accuracy of mGBS was compared with that of GBS and pre-endoscopic RS using area under the receiver operating characteristic curve (AUC). Clinical interventions were defined as blood transfusions, endoscopic or radiological intervention, or surgery. RESULTS: There were 395 patients including 128 (32.4%) needing endoscopic treatment, 117 (29.6%) requiring blood transfusion and two (0.5%) needing surgery. In predicting the need for clinical intervention, the mGBS (AUC, 0.707) performed as well as the GBS (AUC, 0.708; p=0.87) and outperformed the pre-endoscopic RS (AUC, 0.594; p<0.001). However, none of these scores effectively excluded the need for endoscopic intervention at a threshold of 0. CONCLUSIONS: mGBS performed as well as GBS and better than pre-endoscopic RS for predicting clinical interventions in Vietnamese patients with ANVUGIB.
