Please use this identifier to cite or link to this item: https://doi.org/10.1155/2017/3171697
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dc.titleClinical Performance of Prediction Rules and Nasogastric Lavage for the Evaluation of Upper Gastrointestinal Bleeding: A Retrospective Observational Study
dc.contributor.authorDakik, H.K
dc.contributor.authorSrygley, F.D
dc.contributor.authorChiu, S.-T
dc.contributor.authorChow, S.-C
dc.contributor.authorFisher, D.A
dc.date.accessioned2020-10-26T04:59:27Z
dc.date.available2020-10-26T04:59:27Z
dc.date.issued2017
dc.identifier.citationDakik, 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.issn16876121
dc.identifier.urihttps://scholarbank.nus.edu.sg/handle/10635/179889
dc.description.abstractIntroduction. 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.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceUnpaywall 20201031
dc.subjectadult
dc.subjectArticle
dc.subjectclinical evaluation
dc.subjectcohort analysis
dc.subjectdiagnostic accuracy
dc.subjectelectronic medical record
dc.subjectemergency ward
dc.subjectfemale
dc.subjectgastroenterological procedure
dc.subjectgastrointestinal endoscopy
dc.subjectGlasgow Blatchford Score
dc.subjecthuman
dc.subjectICD-9
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmedical record review
dc.subjectnasogastric lavage
dc.subjectobservational study
dc.subjectoutcome assessment
dc.subjectpredictive value
dc.subjectretrospective study
dc.subjectscoring system
dc.subjectsensitivity and specificity
dc.subjectupper gastrointestinal bleeding
dc.typeArticle
dc.contributor.departmentDUKE-NUS MEDICAL SCHOOL
dc.description.doi10.1155/2017/3171697
dc.description.sourcetitleGastroenterology Research and Practice
dc.description.volume2017
dc.description.page3171697
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