摘要
目的评估ABC评分在预测静脉曲张(VUGIB)和非静脉曲张上消化道出血(NVUGIB)人群预后评估中的临床应用价值。方法纳入2019年10月-2021年3月我院收治的上消化道出血患者172例,根据是否为静脉曲张出血分为VUGIB组38例,NVUGIB组134例。收集患者一般临床资料,计算两组患者ABC、AIMS65、GBS、CRS评分,以输血、内镜下干预治疗、院内死亡及复合结果为终点绘制ROC曲线,分别使用4种评分系统对两组患者进行ROC曲线下面积(AUROC)比较。结果两组年龄、白蛋白、收缩压、INR水平比较,差异有统计学意义(P<0.05);两组脉率、血红蛋白、尿素、肌酐水平比较,差异无统计学意义(P>0.05);VUGIB组患者中需要内镜干预治疗、院内死亡及复合结果占比高于NVUGIB组患者,合并有心脏疾病、恶性肿瘤人群占比低于NVUGIB组患者,住院时间较NVUGIB组长,差异有统计学意义(P<0.05);VUGIB组输血人群占比高于NVUGIB组,但差异无统计学意义(P>0.05);ABC评分在评估NVUGIB组患者输血、院内死亡及复合结果方面,AUROC值最高,分别为0.835、0.832、0.779,在评估VUGIB组患者院内死亡方面与AIMS65评分相当,差异无统计学意义(P>0.05)。结论ABC评分系统在预测NVUGIB患者输血、院内死亡、复合结果优于现有的AIMS65、GBS、CRS评分,并且有助于VUGIB患者院内死亡评估。
Objective To evaluate the clinical value of ABC score in predicting the prognosis of varicose veins gastrointestinal bleeding(VUGIB)and non-variceal upper gastrointestinal bleeding(NVUGIB).Methods A total of 172 patients with upper gastrointestinal bleeding admitted to our hospital from October 2019 to March 2021 were divided into VUGIB group(38 cases)and NVUGIB group(134 cases).The general clinical data of the patients were collected.The ABC,AIMS65,GBS and CRS scores of the two groups were calculated.The ROC curve was drawn with blood transfusion,endoscopic intervention,in-hospital death and compound results as the endpoints.The area under the ROC curve(AUROC)was compared between the two groups using four scoring systems.Results There was significant difference in age,albumin,systolic blood pressure and INR between the two groups(P<0.05),there was no significant difference in pulse rate,hemoglobin,urea and creatinine levels between the two groups(P>0.05).The proportion of patients requiring endoscopic intervention,in-hospital death and combined results in the VUGIB group was higher than that in the NVUGIB group,and the proportion of patients with cardiac diseases and malignant tumors was lower than that in the NVUGIB group,the hospitalization time was longer than that in the NVUGIB group,and the difference was statistically significant(P<0.05).The proportion of blood transfusion population in VUGIB group was higher than that in NVUGIB group,but the difference was not statistically significant(P>0.05).ABC score had the highest AUROC value in evaluating blood transfusion,in-hospital death and compound results in NVUGIB group,which were 0.835,0.832 and 0.779,respectively.There was no significant difference in evaluating in-hospital death between VUGIB group and AIMS65 score(P>0.05).Conclusion ABC scoring system is superior to the existing AIMS65,GBS and CRS scores in predicting blood transfusion,in-hospital mortality and compound results in NVUGIB patients,and it is helpful to evaluate the in-hospital mortality of
作者
袁海燕
路亮
YUAN Hai-yan;LU Liang(Department of Gastroenterology,Chaohu Hospital Affiliated to Anhui Medical University,Hefei 238000,Anhui,China)
出处
《医学信息》
2022年第2期86-89,共4页
Journal of Medical Information
关键词
ABC评分
上消化道出血评分
评分系统
危险分层
预后
ABC score
Upper Gastrointestinal Bleeding Score
Scoring system
Hazard stratification
Prognosis
