Comparison of the Glasgow-Blatchford and AIMS65 Scoring Systems for Risk Stratification in Upper Gastrointestinal Bleeding in the Emergency Department

2014 ◽  
Vol 22 (1) ◽  
pp. 22-30 ◽  
Author(s):  
Elif Yaka ◽  
Serkan Yılmaz ◽  
Nurettin Özgür Doğan ◽  
Murat Pekdemir
2016 ◽  
Vol 8 (2) ◽  
pp. 91
Author(s):  
Taufiq Abdullah ◽  
Siswanto Siswanto ◽  
Bogi Pratomo

BACKGROUND: Upper gastrointestinal bleeding (UGIB) is a frequent cause of emergency hospital admissions. Despite the dependency of most risk scoring systems for this disorder, the Glasgow-Blatchford bleeding score (GBS) is based on simple variables. This research intended for investigate the accuracy of a modified GBS (mGBS) to predict the severity of non-variceal UGIB.METHODS: Study conducted in Emergency Department of Dr. Saiful Anwar Hospital, Malang, from November 2012 to April 2013. Endoscopy performed between 12-24 hours after the patient stabilized. Sixty patients diagnosed were included. The accuracy of the mGBS in predicting the severity of non-variceal UGIB was compared with the full GBS using receiver operating characteristic (ROC) curve. The severity based on high risk in mGBS score compared by Forrest classification.RESULTS: For prediction of the severity of non-variceal UGIB, the GBS (AUC 0.947, 95% CI 0.87-1.03) had a slightly than the mGBS (AUC 0.943, 95% CI 0.86-1.02, p<0.01). Compared to the GBS, the mGBS was more specific (63% and 97%, respectively) but less sensitive (96% and 84%, respectively).CONCLUSION: The mGBS is an alternative diagnostic tool in predicting the severity of non-variceal UGIB.KEYWORDS: non variceal-UGIB, GBS, modified GBS


2017 ◽  
Vol 36 (2) ◽  
pp. 105-112 ◽  
Author(s):  
Anna Cherian Anchu ◽  
Subair Mohsina ◽  
Sathasivam Sureshkumar ◽  
T. Mahalakshmy ◽  
Vikram Kate

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