Evidence map›Paper›PMID 30830583›Full record

ArticleIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology2019

Comparison of various prognostic scores in variceal and non-variceal upper gastrointestinal bleeding: A prospective cohort study.

Gyanranjan Rout, Sanchit Sharma, Deepak Gunjan, Saurabh Kedia, Baibaswata Nayak, Shalimar

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Article in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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18citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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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

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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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Low risk of transmission of SARS-CoV2 and effective endotherapy for gastrointestinal bleeding despite challenges supports resuming optimum endoscopic services.Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver · 2021
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  15. Scoring systems for upper gastrointestinal bleeding: Which one scores better?Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2019
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Gyanranjan RoutDepartment of Gastroenterology, All India Institute of Medical Sciences, New Delhi, 110 049, India.
Sanchit SharmaDepartment of Gastroenterology, All India Institute of Medical Sciences, New Delhi, 110 049, India.
Deepak GunjanDepartment of Gastroenterology, All India Institute of Medical Sciences, New Delhi, 110 049, India.
Saurabh KediaDepartment of Gastroenterology, All India Institute of Medical Sciences, New Delhi, 110 049, India.
Baibaswata NayakDepartment of Gastroenterology, All India Institute of Medical Sciences, New Delhi, 110 049, India.
ShalimarDepartment of Gastroenterology, All India Institute of Medical Sciences, New Delhi, 110 049, India. drshalimar@gmail.com.ORCID http://orcid.org/0000-0003-1247-437X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsVarious prognostic scores like Glasgow-Blatchford bleeding score (GBS), modified Glasgow-Blatchford bleeding score (mGBS), full Rockall score (FRS) including endoscopic findings, clinical Rockall score (CRS), and albumin, international normalized ratio (INR), mental status, systolic blood pressure, age >65 (AIMS65) are used for risk stratification in patients with upper gastrointestinal bleeding (UGIB). The utility of these scores in variceal UGIB (VUGIB) is not well defined. In this prospective study, we aimed to assess the performance of these scores in patients with non-variceal (NVUGIB) and VUGIB.

methodsWe included 1011 patients (during March 2017 and August 2018) including 439 with NVUGIB and 572 VUGIB. Performance of GBS, mGBS, FRS, CRS, and AIMS65 for various outcome measures was analyzed using the area under receiver operator characteristic curve (AUROC).

resultsThe accuracy of prognostic scores in predicting the composite outcome including the need of hospital-based intervention and 42-day mortality was higher in NVUGIB as compared with VUGIB, AUROC: CRS: 0.641 vs. 0.537; FRS: 0.669 vs. 0.625; GBS: 0.719 vs. 0.587; mGBS: 0.711 vs. 0.594; AIMS65: 0.567 vs. 0.548. GBS and mGBS at a cut-off score of 1 had the highest negative predictive value, 91.7% and 91.3%, respectively, for predicting composite outcome in NVUGIB. Similarly, these scores had better accuracy for predicting 42-day rebleeding in NVUGIB as compared to VUGIB, AUROC: CRS: 0.680 vs. 0.537; FRS: 0.698 vs. 0.565; GBS: 0.661 vs. 0.543; mGBS: 0.627 vs. 0.540; AIMS65: 0.695 vs. 0.606.

conclusionThe prognostic scores such as CRS, FRS, GBS, mGBS, and AIMS65 predict the need for hospital-based management, rebleeding, and mortality better among patients with NVUGIB than VUGIB.

Indexed as

Esophageal and Gastric VaricesGastrointestinal HemorrhageAdultCohort StudiesFemaleHospitalizationHumansMaleMiddle AgedPrognosisProspective StudiesRecurrenceRiskRisk AssessmentROC CurveEndoscopyGastrointestinal bleedingMortalityPrognostic scoreRebleedingUlcer

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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.