Please use this identifier to cite or link to this item:
https://doi.org/10.1155/2017/3171697
DC Field | Value | |
---|---|---|
dc.title | Clinical Performance of Prediction Rules and Nasogastric Lavage for the Evaluation of Upper Gastrointestinal Bleeding: A Retrospective Observational Study | |
dc.contributor.author | Dakik, H.K | |
dc.contributor.author | Srygley, F.D | |
dc.contributor.author | Chiu, S.-T | |
dc.contributor.author | Chow, S.-C | |
dc.contributor.author | Fisher, D.A | |
dc.date.accessioned | 2020-10-26T04:59:27Z | |
dc.date.available | 2020-10-26T04:59:27Z | |
dc.date.issued | 2017 | |
dc.identifier.citation | Dakik, H.K, Srygley, F.D, Chiu, S.-T, Chow, S.-C, Fisher, D.A (2017). Clinical Performance of Prediction Rules and Nasogastric Lavage for the Evaluation of Upper Gastrointestinal Bleeding: A Retrospective Observational Study. Gastroenterology Research and Practice 2017 : 3171697. ScholarBank@NUS Repository. https://doi.org/10.1155/2017/3171697 | |
dc.identifier.issn | 16876121 | |
dc.identifier.uri | https://scholarbank.nus.edu.sg/handle/10635/179889 | |
dc.description.abstract | Introduction. The majority of patients with acute upper gastrointestinal bleeding (UGIB) are admitted for urgent endoscopy as it can be difficult to determine who can be safely managed as an outpatient. Our objective was to compare four clinical prediction scoring systems: Glasgow Blatchford Score (GBS) and Clinical Rockall, Adamopoulos, and Tammaro scores in a sample of patients presenting to the emergency department of a large US academic center. Methods. We performed a retrospective cohort study of patients during 2008-2010. Our outcome was significant UGIB defined as high-risk stigmata on endoscopy, or receipt of blood transfusion or surgery, or death. Results. A total of 393 patients met inclusion criteria. The GBS was the most sensitive for detecting significant UGIB at 98.30% and had the highest negative predictive value (90.00%). Adding nasogastric lavage data to the GBS increased the sensitivity to 99.57%. Conclusions. Of all four scoring systems compared, the GBS demonstrated the highest sensitivity and negative predictive value for identifying a patient with a significant UGIB. Therefore, patients with a 0 score can be safely managed as an outpatient. Our results also suggest that performing a nasogastric lavage adds little to the diagnosis UGIB. © 2017 Hassan K. Dakik et al. | |
dc.rights | Attribution 4.0 International | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.source | Unpaywall 20201031 | |
dc.subject | adult | |
dc.subject | Article | |
dc.subject | clinical evaluation | |
dc.subject | cohort analysis | |
dc.subject | diagnostic accuracy | |
dc.subject | electronic medical record | |
dc.subject | emergency ward | |
dc.subject | female | |
dc.subject | gastroenterological procedure | |
dc.subject | gastrointestinal endoscopy | |
dc.subject | Glasgow Blatchford Score | |
dc.subject | human | |
dc.subject | ICD-9 | |
dc.subject | major clinical study | |
dc.subject | male | |
dc.subject | medical record review | |
dc.subject | nasogastric lavage | |
dc.subject | observational study | |
dc.subject | outcome assessment | |
dc.subject | predictive value | |
dc.subject | retrospective study | |
dc.subject | scoring system | |
dc.subject | sensitivity and specificity | |
dc.subject | upper gastrointestinal bleeding | |
dc.type | Article | |
dc.contributor.department | DUKE-NUS MEDICAL SCHOOL | |
dc.description.doi | 10.1155/2017/3171697 | |
dc.description.sourcetitle | Gastroenterology Research and Practice | |
dc.description.volume | 2017 | |
dc.description.page | 3171697 | |
Appears in Collections: | Staff Publications Elements |
Show simple item record
Files in This Item:
File | Description | Size | Format | Access Settings | Version | |
---|---|---|---|---|---|---|
10_1155_2017_3171697.pdf | 1.25 MB | Adobe PDF | OPEN | None | View/Download |
This item is licensed under a Creative Commons License