检索结果-南通市图书馆

Upper gastrointestinal bleeding etiology score for predicting variceal and non-variceal bleeding

World Journal of Gastroenterology 2009年第9期15卷 1099-1104页

作者： Supot Pongprasobchai sireethorn nimitvilai Jaroon Chasawat Sathaporn Manatsathit Division of Gastroenterology Department of Internal Medicine Siriraj Hospital Bangkok 10700 Thailand Department of Internal Medicine Siriraj Hospital Bangkok 10700 Thailand

AIM:To identify clinical parameters,and develop an Upper Gastrointesinal Bleeding (UGIB) Etiology Score for predicting the types of UGIB and validate the ***:Patients with UGIB who underwent endoscopy within 72 h were enrolled. Clinical and basic laboratory parameters were prospectively collected. Predictive factors for the types of UGIB were identified by univariate and multivariate analyses and were used to generate the UGIB Etiology Score. The best cutoff of the score was defi ned from the receiver operating curve and prospectively validated in another set of patients with ***:Among 261 patients with UGIB,47 (18%) had variceal and 214 (82%) had non-variceal bleeding. Univariate analysis identified 27 distinct parameters significantly associated with the types of UGIB. Logistic regression analysis identified only 3 independent factors for predicting variceal bleeding; previous diagnosis of cirrhosis or signs of chronic liver disease (OR 22.4,95% CI 8.3-60.4,P < 0.001),red vomitus (OR 4.6,95% CI 1.8-11.9,P = 0.02),and red nasogastric (NG) aspirate (OR 3.3,95% CI 1.3-8.3,P = 0.011). The UGIB Etiology Score was calculated from (3.1 × previous diagnosis of cirrhosis or signs of chronic liver disease) + (1.5 × red vomitus) + (1.2 × red NG aspirate),when 1 and 0 are used for the presence and absence of each factor,respectively. Using a cutoff≥ 3.1,the sensitivity,specificity,accuracy,positive predictive value (PPV),and negative predictive value (NPV) in predicting variceal bleeding were 85%,81%,82%,50%,and 96%,respectively. The score was prospectively validated in another set of 195 UGIB cases (46 variceal and 149 non-variceal bleeding). The PPV and NPV of a score ≥ 3.1 for variceal bleeding were 79% and 97%,***:The UGIB Etiology Score,composed of 3 parameters,using a cutoff ≥ 3.1 accurately predicted variceal bleeding and may help to guide the choice of initial therapy for UGIB before endoscopy.

关键词：非静脉曲张破裂出血上消化道出血病因预测因子评分 Logistic回归分析受试者工作曲线核型多角体病毒临床参数

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：