Comparison of the National Early Warning Score+Lactate score with the pre-endoscopic Rockall, Glasgow-Blatchford, and AIMS65 scores in patients with upper gastrointestinal bleeding
DC Field | Value | Language |
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dc.contributor.author | Kim, Daejin | - |
dc.contributor.author | Jo, Sion | - |
dc.contributor.author | Lee, Jae Baek | - |
dc.contributor.author | Jin, Youngho | - |
dc.contributor.author | Jeong, Taeoh | - |
dc.contributor.author | Yoon, Jaechol | - |
dc.contributor.author | Park, Bo young | - |
dc.date.accessioned | 2022-07-10T20:51:49Z | - |
dc.date.available | 2022-07-10T20:51:49Z | - |
dc.date.created | 2021-05-14 | - |
dc.date.issued | 2018-12 | - |
dc.identifier.issn | 2383-4625 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/148729 | - |
dc.description.abstract | 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. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | 대한응급의학회 | - |
dc.title | Comparison of the National Early Warning Score+Lactate score with the pre-endoscopic Rockall, Glasgow-Blatchford, and AIMS65 scores in patients with upper gastrointestinal bleeding | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Park, Bo young | - |
dc.identifier.doi | 10.15441/ceem.17.268 | - |
dc.identifier.scopusid | 2-s2.0-85075527633 | - |
dc.identifier.wosid | 000453061700002 | - |
dc.identifier.bibliographicCitation | Clinical and Experimental Emergency Medicine, v.5, no.4, pp.219 - 229 | - |
dc.relation.isPartOf | Clinical and Experimental Emergency Medicine | - |
dc.citation.title | Clinical and Experimental Emergency Medicine | - |
dc.citation.volume | 5 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 219 | - |
dc.citation.endPage | 229 | - |
dc.type.rims | ART | - |
dc.type.docType | 정기학술지(Article(Perspective Article포함)) | - |
dc.description.journalClass | 2 | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | Emergency Medicine | - |
dc.relation.journalWebOfScienceCategory | Emergency Medicine | - |
dc.subject.keywordAuthor | Bleeding | - |
dc.subject.keywordAuthor | Gastrointestinal | - |
dc.subject.keywordAuthor | Lactate | - |
dc.subject.keywordAuthor | Mortality | - |
dc.subject.keywordAuthor | Risk | - |
dc.identifier.url | https://www.ceemjournal.org/journal/view.php?doi=10.15441/ceem.17.268 | - |
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