Evidence map›Paper›PMID 30022452›Full record

ArticleDigestive diseases and sciences2018

Both Full Glasgow-Blatchford Score and Modified Glasgow-Blatchford Score Predict the Need for Intervention and Mortality in Patients with Acute Lower Gastrointestinal Bleeding.

Asad Ur-Rahman, Jian Guan, Sameen Khalid, Alvina Munaf, Mohammad Sharbatji, Evgeny Idrisov, Xiaoping He, Archana Machavarapu, Khalid Abusaada

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Digestive diseases and sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% of its field
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Outcomes and performance of risk scores in acute lower gastrointestinal bleeding.JGH open : an open access journal of gastroenterology and hepatology · 2023
    Article
  6. Article
  7. Article
  8. [Lower Gastrointestinal Bleeding: Current State of Diagnosis and Treatment and Interpretation of the Clinical Guidelines].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2022
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Observational
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 at 2 institutions in 1 country.

Asad Ur-RahmanInternal Medicine Residency Program, Florida Hospital, Orlando, FL, USA.
Jian GuanInternal Medicine Residency Program, Florida Hospital, Orlando, FL, USA. jianguan@bu.edu.ORCID http://orcid.org/0000-0003-3601-7253
Sameen KhalidInternal Medicine Residency Program, Florida Hospital, Orlando, FL, USA.
Alvina MunafInternal Medicine Residency Program, Florida Hospital, Orlando, FL, USA.
Mohammad SharbatjiInternal Medicine Residency Program, Florida Hospital, Orlando, FL, USA.
Evgeny IdrisovInternal Medicine Residency Program, Florida Hospital, Orlando, FL, USA.
Xiaoping HeInternal Medicine Residency Program, Florida Hospital, Orlando, FL, USA.
Archana MachavarapuInternal Medicine Residency Program, Ocala Regional Medical Center, Ocala, FL, USA.
Khalid AbusaadaInternal Medicine Residency Program, Florida Hospital, Orlando, FL, USA.
AdventHealth Orlando · USRegional Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlasgow-Blatchford score (GBS) has been developed for risk stratification in management of acute upper gastrointestinal (GI) bleeding. However, the performance of GBS in patients with lower GI bleeding is unknown.

aimTo evaluate the performance of full or modified GBS and modified GBS in prediction of major clinical outcomes in patients with lower GI bleeding.

methodsA retrospective study of patients admitted to a tertiary care center with either non-variceal upper GI bleeding or lower GI bleeding was conducted. The full and modified GBS were calculated for all patients. The primary outcome was a combined outcome of inpatient mortality, need for endoscopic, surgical, or radiologic procedure to control the bleed or treat the underlying source, and need for blood transfusion.

resultsA total of 1026 patients (562 cases for upper GI and 464 cases for lower GI) were included in the study. Hospital-based interventions and mortality were significantly higher in upper GI bleeding group. The performance of the full GBS in lower GI bleeding (area under the receiver operating curve (AUROC) 0.78, 95% CI 0.74-0.82) was comparable to full GBS in upper GI bleeding (AUROC 0.77, 95% CI 0.73-0.81) in predicting the primary outcome. Similarly, the performance of modified GBS in lower GI bleeding was shown to be comparable to modified GBS in upper GI bleeding (AUROC 0.78, 95% CI 0.74-0.83 vs. AUROC 0.76 95% CI 0.72-0.80).

conclusionIn patients with lower GI bleeding, both full GBS and modified GBS can predict the need for hospital-based interventions and mortality.

Indexed as

Severity of Illness IndexAgedBlood TransfusionFloridaGastrointestinal HemorrhageHumansLower Gastrointestinal TractMiddle AgedRecurrenceRetrospective StudiesRisk AssessmentUpper Gastrointestinal TractEndoscopyGastrointestinal hemorrhageLower gastrointestinal tractRisk assessment

Identifiers

PMID30022452
OpenAlexW2884161655

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.