上下消化道出血风险分层评分系统

IF 3.2 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Franco Radaelli , Simone Rocchetto , Alessandra Piagnani , Alberto Savino , Dhanai Di Paolo , Giulia Scardino , Silvia Paggi , Emanuele Rondonotti
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引用次数: 0

摘要

已经开发了几种上消化道和下消化道出血的评分系统,以预测出血的严重程度,并区分可能适合门诊治疗的低风险患者和可能需要医院干预并有高风险不良后果的患者。为识别低风险患者而创建的风险评分(即格拉斯哥布拉奇福德评分和奥克兰评分)显示出非常好的判别性能,其实施已被证明在减少住院率和医疗负担方面是有效的。相反,风险评分在识别特定不良事件以定义高风险患者方面的表现不太准确,并且将其纳入常规临床实践是否对患者管理产生切实影响仍未得到证实。本文介绍了现有的胃肠道出血风险评分系统,强调了关键的研究成果,阐明了在哪些情况下使用这些评分系统是有益的,在考虑常规临床应用时检查了它们的局限性,并讨论了未来的发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Scoring systems for risk stratification in upper and lower gastrointestinal bleeding

Several scoring systems have been developed for both upper and lower GI bleeding to predict the bleeding severity and discriminate between low-risk patients, who may be suitable for outpatient management, and those who would likely need hospital-based interventions and are at high risk for adverse outcomes. Risk scores created to identify low-risk patients (namely the Glasgow Blatchford Score and the Oakland score) showed very good discriminative performances and their implementation has proven to be effective in reducing hospital admissions and healthcare burden. Conversely, the performances of risk scores in identifying specific adverse events to define high-risk patients are less accurate, and whether their integration into routine clinical practice has a tangible impact on patient management remains unproven.

This review describes the existing risk score systems for GI bleeding, emphasizes key research findings, elucidates the circumstances in which their utilization can be beneficial, examines their constraints when considering routine clinical application, and discuss future development.

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来源期刊
CiteScore
5.50
自引率
0.00%
发文量
23
审稿时长
69 days
期刊介绍: Each topic-based issue of Best Practice & Research Clinical Gastroenterology will provide a comprehensive review of current clinical practice and thinking within the specialty of gastroenterology.
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