机构：[a]Department of Gastroenterology, The Second Affiliated Hospital, Kunming Medical University, Kunming,[b]Institute of Digestive Diseases, Chinese PLA General Hospital,[c]Department of Gastroenterology, Beijing Tian Tan Hospital, Beijing,诊疗科室消化内科首都医科大学附属天坛医院[d]Department of Gastroenterology, Zhongshan Hospital, Fudan University, Shanghai,[e]Department of Gastroenterology, Xi’an Central Hospital, Xi’an,[f]Department of Gastroenterology, First Affiliated Hospital, Nanjing Medical University, Nanjing,内科系统消化内科江苏省人民医院[g]Department of Gastroenterology, First Affiliated Hospital, Zhejiang Chinese Medical University, Hangzhou,外科系统内科系统胃肠外科中医科浙江大学医学院附属第一医院[h]Department of Gastroenterology, Zhongshan Hospital, Xiamen University, Xiamen,[i]Department of Gastroenterology, First People’s Hospital of Foshan, Foshan, China.
The Glasgow-Blatchford scores (GBS) and Rockall scores (RS) are commonly used for stratifying patients with nonvariceal upper gastrointestinal hemorrhage (NVUGIH). Although predictive value of these scoring methods has been extensively validated, their clinical effectiveness remains unclear. The following study evaluated the GBS and RS scoring system with reference to bleeding, needs for further surgery, endoscopic intervention and death, in order to verify their effectiveness and accuracy in clinical application. Patients who presented with NVUGIH, or who were consequently diagnosed with the disease (by endoscopy examination) between January 1, 2008, and December 31, 2012 were enrolled in the study. GBS and RS scores were compared to predict bleeding, the needs for further surgery, endoscopic intervention, death by ROC curves and AUC value. Among 2977 patients, the pre-endoscopic RS and complete RS score (CRS) were superior to the GBS score (AUC: 0.842 vs 0.804 vs 0.622, respectively) for predicting the mortality risk in patients. The pre-endoscopic RS score predicting re-bleeding was significantly higher than the CRS and the GBS score (AUC: 0.658 vs 0.548 vs 0.528, respectively). In addition, the 3 scoring systems revealed to be poor predictors of surgical operation effectiveness (AUC: 0.589 vs 0.547 vs 0.504, respectively). Our data demonstrated that the GBS and RS scoring systems could be used to predict outcomes in patients with nonvariceal upper gastrointestinal bleeding.
基金：
Young and Middle-Aged Academic and Technical Backbone Projects in Kunming Medical University [60117190431]; Grant Major Scientific Research Projects of Ministry of Health Industry [201002020]
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2018]版：
大类|4 区医学
小类|3 区医学：内科
最新[2025]版：
大类|4 区医学
小类|4 区医学：内科
第一作者：
第一作者机构：[a]Department of Gastroenterology, The Second Affiliated Hospital, Kunming Medical University, Kunming,
通讯作者：
通讯机构：[b]Institute of Digestive Diseases, Chinese PLA General Hospital,[*1]Institute of Digestive Diseases, Chinese PLA General Hospital, No. 69, Yongding Road, Haidian District, Beijing, China
推荐引用方式(GB/T 7714)：
Mingliang Lu,Gang Sun,Hua Huang,et al.Comparison of the Glasgow-Blatchford and Rockall Scores for prediction of nonvariceal upper gastrointestinal bleeding outcomes in Chinese patients[J].MEDICINE.2019,98(21):-.doi:10.1097/MD.0000000000015716.
APA：
Mingliang Lu,Gang Sun,Hua Huang,Xiaomei Zhang,Youqing Xu...&Yunsheng Yang.(2019).Comparison of the Glasgow-Blatchford and Rockall Scores for prediction of nonvariceal upper gastrointestinal bleeding outcomes in Chinese patients.MEDICINE,98,(21)
MLA：
Mingliang Lu,et al."Comparison of the Glasgow-Blatchford and Rockall Scores for prediction of nonvariceal upper gastrointestinal bleeding outcomes in Chinese patients".MEDICINE 98..21(2019):-
