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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.5 No.4
- 발행연도
- 2018.1
- 수록면
- 219 - 229 (11page)
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초록· 키워드
오류제보하기
Objective We compared the predictive value of the National Early Warning Score+Lactate (NEWS+L) score with those of other parameters such as the pre-endoscopic Rockall score (PERS), Glasgow-Blatchford score (GBS), and albumin, international normalized ratio, altered mental status, systolic blood pressure, age older than 65 years score (AIMS65) among patients with upper gastrointestinal bleeding (UGIB). Methods We conducted a retrospective study of patients with UGIB during 2 consecutive years. The primary outcome was the composite of in-hospital death, intensive care unit admission, and the need for ≥5 packs of red blood cell transfusion within 24 hours. Results Among 530 included patients, the composite outcome occurred in 59 patients (19 in-hospital deaths, 13 intensive care unit admissions, and 40 transfusions of ≥5 packs of red blood cells within 24 hours). The area under the receiver operating characteristic curve of the NEWS+L score for the composite outcome was 0.76 (95% confidence interval, 0.70 to 0.82), which demonstrated a significant difference compared to PERS (0.66, 0.59–0.73, P=0.004), but not to GBS (0.70, 0.64–0.77, P=0.141) and AIMS65 (0.76, 0.70–0.83, P=0.999). The sensitivities of NEWS+L scores of 3 (n=34, 6.4%), 4 (n=92, 17.4%), and 5 (n=171, 32.3%) were 100%, 98.3%, and 96.6%, respectively, while the sensitivity of an AIMS65 score of 0 (n=159, 30.0%) was 91.5%. Conclusion The NEWS+L score showed better discriminative performance than the PERS and comparable discriminative performance to the GBS and AIMS65. The NEWS+L score may be used to identify low-risk patients among patients with UGIB.
목차
등록된 정보가 없습니다.
참고문헌 (30)
참고문헌 신청
Lirio RA / 2016 / Management of upper gastrointestinal bleeding in children: variceal and nonvariceal / Gastrointest Endosc Clin N Am 26:63~73
Longstreth GF / 1995 / Epidemiology of hospitalization for acute upper gastrointestinal hemorrhage: a population-based study / Am J Gastroenterol 90:206~210
Lanas A / 2005 / A nationwide study of mortality associated with hospital admission due to severe gastrointestinal events and those associated with nonsteroidal anti-inflammatory drug use / Am J Gastroenterol 100:1685~1693
Gralnek IM / 2008 / Management of acute bleeding from a peptic ulcer / N Engl J Med 359:928~937
Silverstein FE / 1981 / The national ASGE survey on upper gastrointestinal bleeding. II. Clinical prognostic factors / Gastrointest Endosc 27:80~93
Longstreth GF / 1995 / Epidemiology of hospitalization for acute upper gastrointestinal hemorrhage: a population-based study / Am J Gastroenterol 90:206~210
Lanas A / 2005 / A nationwide study of mortality associated with hospital admission due to severe gastrointestinal events and those associated with nonsteroidal anti-inflammatory drug use / Am J Gastroenterol 100:1685~1693
Gralnek IM / 2008 / Management of acute bleeding from a peptic ulcer / N Engl J Med 359:928~937
Silverstein FE / 1981 / The national ASGE survey on upper gastrointestinal bleeding. II. Clinical prognostic factors / Gastrointest Endosc 27:80~93
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