Evidence map›Paper›PMID 29151699›Full record

ArticleWorld journal of gastroenterology2017

Scoring systems for peptic ulcer bleeding: Which one to use?

Ivan Budimir, Sanja Stojsavljević, Neven Baršić, Alen Bišćanin, Gorana Mirošević, Sven Bohnec, Lora Stanka Kirigin, Tajana Pavić, Neven Ljubičić

Abstract readComparative Study
In one paragraph

Article in World journal of gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Use of the AIMS65 and pre-endoscopy Rockall scores in the prediction of mortality in patients with the upper gastrointestinal bleeding.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. [Treatment of nonvariceal upper gastrointestinal bleeding: endoluminal-endovascular-surgical].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2019
    Review
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ivan BudimirDivision of Gastroenterology, Department of Internal Medicine, "Sestre Milosrdnice" University Hospital Center, Zagreb 10000, Croatia.
Sanja StojsavljevićDivision of Gastroenterology, Department of Internal Medicine, "Sestre Milosrdnice" University Hospital Center, Zagreb 10000, Croatia. sanja.stojsavljevic@kbcsm.hr.
Neven BaršićDivision of Gastroenterology, Department of Internal Medicine, "Sestre Milosrdnice" University Hospital Center, Zagreb 10000, Croatia.
Alen BišćaninDivision of Gastroenterology, Department of Internal Medicine, "Sestre Milosrdnice" University Hospital Center, Zagreb 10000, Croatia.
Gorana MiroševićDivision of Endocrinology, Department of Internal Medicine, "Sestre Milosrdnice" University Hospital Center, Medical and Dental Faculty, University of Zagreb, Zagreb 10000, Croatia.
Sven BohnecGastronterologie, Allgemeine Innere Medizin und Geriatrie, Rems-Murr Klinik Winnenden, 71364 Winnenden, Germany.
Lora Stanka KiriginDivision of Endocrinology, Department of Internal Medicine, "Sestre Milosrdnice" University Hospital Center, Medical and Dental Faculty, University of Zagreb, Zagreb 10000, Croatia.
Tajana PavićDivision of Gastroenterology, Department of Internal Medicine, "Sestre Milosrdnice" University Hospital Center, Zagreb 10000, Croatia.
Neven LjubičićDivision of Gastroenterology, Department of Internal Medicine, "Sestre Milosrdnice" University Hospital Center, Zagreb 10000, Croatia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo compare the Glasgow-Blatchford score (GBS), Rockall score (RS) and Baylor bleeding score (BBS) in predicting clinical outcomes and need for interventions in patients with bleeding peptic ulcers.

methodsBetween January 2008 and December 2013, 1012 consecutive patients admitted with peptic ulcer bleeding (PUB) were prospectively followed. The pre-endoscopic RS, BBS and GBS, as well as the post-endoscopic diagnostic scores (RS and BBS) were calculated for all patients according to their urgent upper endoscopy findings. Area under the receiver-operating characteristics (AUROC) curves were calculated for the prediction of lethal outcome, rebleeding, needs for blood transfusion and/or surgical intervention, and the optimal cutoff values were evaluated.

resultsPUB accounted for 41.9% of all upper gastrointestinal tract bleeding, 5.2% patients died and 5.4% patients underwent surgery. By comparing the AUROC curves of the aforementioned pre-endoscopic scores, the RS best predicted lethal outcome (AUROC 0.82

conclusionThe RS is the best predictor of mortality and the GBS is the best predictor of rebleeding, need for blood transfusion and/or surgical intervention in patients with PUB. There is no one 'perfect score' and we suggest that these two tests be used concomitantly.

Indexed as

Severity of Illness IndexAdultAgedAged, 80 and overBlood TransfusionCroatiaEndoscopy, GastrointestinalFemaleHospitalizationHumansMaleMiddle AgedPeptic UlcerPeptic Ulcer HemorrhagePrognosisProspective StudiesBaylor bleeding scoreGlasgow-Blatchford scorePeptic ulcer bleedingRockall scoreUpper gastrointestinal bleeding

Identifiers

PMID29151699
PMCPMC5685851

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.