ArticleClinical and experimental gastroenterology2017
A novel scoring system for prediction of esophageal varices in critically ill patients.
Article in Clinical and experimental gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 8 citations in OpenAlex.
- The Development of a Scoring System for Acute Variceal Bleeding Risk in Cirrhotic Patients in Emergency Departments.Life (Basel, Switzerland) · 2026Article
- Association of ABO Blood Type with Bleeding Severity in Patients with Acute Gastroesophageal Variceal Bleeding.Medicina (Kaunas, Lithuania) · 2021Observational
- Evaluation of Non-invasive Fibrosis Markers in Predicting Esophageal Variceal Bleeding.Clinical endoscopy · 2021Article
- Article
- Non-invasive diagnosis of variceal bleeding: choose the right target population and identify the right culprit.Annals of translational medicine · 2020Article
- Second urgent endoscopy within 48-hour benefits cirrhosis patients with acute esophageal variceal bleeding.Medicine · 2020Observational
- Validation of Revised Baveno VI Criteria for Screening of Varices Needing Treatment in Children with Cirrhosis.Clinical and experimental gastroenterology · 2020Article
- External validation of Liaoning score for predicting esophageal varices in liver cirrhosis: a Chinese multicenter cross-sectional study.Annals of translational medicine · 2019Article
- Application value of thromboelastography in perioperative clinical blood transfusion and its effect on the outcome of patient.Experimental and therapeutic medicine · 2019Article
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Authors and funding
10 authors at 3 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsPatients with advanced systemic illness or critically ill patients may present with upper gastrointestinal tract (GIT) bleeding which may need endoscopic intervention; however, this may expose them to unnecessary endoscopy. The aim was to validate a novel scoring system for risk stratification for urgency of GIT endoscopy in critically ill patients.
methodsThis is an observational study conducted from January 2013 to January 2016 to analyze 300 patients with critical medical conditions and presenting with upper gastrointestinal bleeding. Meticulous clinical, laboratory, and sonographic evaluations were performed to calculate Glasgow Blatchford score (GBS) and variceal metric score for risk stratification and prediction of the presence of esophageal varices (OV). Finally, this score was applied on a validation group (n=100).
resultsThe use of GBS and variceal metric scores in critically ill patients revealed that patients who showed a low risk score value for OV (0-4 points) and GBS <2 can be treated conservatively and discharged safely without urgent endoscopy. In patients with a low risk for varices but GBS >2, none of them had OV on endoscopy. In patients with intermediate risk score value for OV (5-8 points) and with GBS >2, 33.33% of them had varices on endoscopy. In patients with high risk score value for varices (9-13) and GBS >2, endoscopy revealed varices in 94.4% of them. Finally, in patients with very high risk score for varices (14-17), endoscopy revealed varices in 100% of them.
conclusionGBS and variceal metric score were highly efficacious in identifying critically ill patients who will benefit from therapeutic endoscopic intervention.
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