Which scoring system should be used for non‐variceal upper gastrointestinal bleeding? Old or new?

Background and Aim Several scoring systems for predicting outcomes in patients with non‐variceal upper gastrointestinal bleeding (NVUGIB) have recently been devised, but not sufficiently validated. We compared the predictive accuracy of several scoring systems and assessed the usefulness of new scor...

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Bibliographic Details
Published in:Journal of gastroenterology and hepatology 2021-10, Vol.36 (10), p.2819-2827
Main Authors: Jeon, Hong Jae, Moon, Hee Seok, Kwon, In Sun, Kang, Sun Hyung, Sung, Jae Kyu, Jeong, Hyun Yong
Format: Article
Language:English
Subjects:
Albumin
Albumins
Bleeding
Blood pressure
Chronic obstructive pulmonary disease
Cirrhosis
Congestive heart failure
Epidermal growth factor receptors
gastrointestinal hemorrhage
Gastrointestinal Hemorrhage - diagnosis
Gastrointestinal Hemorrhage - etiology
Gastrointestinal Hemorrhage - therapy
Glomerular filtration rate
Heart Failure
Heart rate
Humans
Liver cirrhosis
Liver diseases
Lung diseases
Malignancy
Medical records
Mortality
Multivariate analysis
Obstructive lung disease
Patients
Prognosis
Pulmonary Disease, Chronic Obstructive
Risk Assessment
ROC Curve
Severity of Illness Index
Syncope
upper gastrointestinal tract
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Summary:Background and Aim Several scoring systems for predicting outcomes in patients with non‐variceal upper gastrointestinal bleeding (NVUGIB) have recently been devised, but not sufficiently validated. We compared the predictive accuracy of several scoring systems and assessed the usefulness of new scoring systems. Methods The medical records of 1048 patients with NVUGIB were reviewed to collect demographic, clinical, laboratory, and endoscopic data. The areas under the receiver operating characteristic curve (AUROCs) were calculated for the ABC, new Japanese scoring system, Progetto Nazionale Emorrhagia Digestiva (PNED), and other scores to compare their predictive accuracy for 30‐day mortality, therapeutic intervention, rebleeding, and prolonged hospital stay (≥ 10 days). Outcome predictors were identified by multivariate analysis. Results The ABC, new Japanese scoring system, and PNED scores best predicted 30‐day mortality (AUROC 0.907), need for therapeutic intervention (AUROC 0.707), and rebleeding (AUROC 0.874), respectively (all P 
ISSN:0815-9319
1440-1746
DOI:10.1111/jgh.15555