Evidence map›Paper›PMID 31124950›Full record

Observational studyMedicine2019

Comparison of the Glasgow-Blatchford and Rockall Scores for prediction of nonvariceal upper gastrointestinal bleeding outcomes in Chinese patients.

Mingliang Lu, Gang Sun, Hua Huang, Xiaomei Zhang, Youqing Xu, Shiyao Chen, Ying Song, Xueliang Li, Bin Lv, Jianlin Ren and 5 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.1field-weighted citation impact, top 22% 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, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. 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

15 authors at 9 institutions in 1 country.

Mingliang LuDepartment of Gastroenterology, The Second Affiliated Hospital, Kunming Medical University, Kunming.
Gang SunInstitute of Digestive Diseases, Chinese PLA General Hospital.
Hua HuangDepartment of Gastroenterology, The Second Affiliated Hospital, Kunming Medical University, Kunming.
Xiaomei ZhangInstitute of Digestive Diseases, Chinese PLA General Hospital.
Youqing XuDepartment of Gastroenterology, Beijing Tian Tan Hospital, Beijing.
Shiyao ChenDepartment of Gastroenterology, Zhongshan Hospital, Fudan University, Shanghai.
Ying SongDepartment of Gastroenterology, Xi'an Central Hospital, Xi'an.
Xueliang LiDepartment of Gastroenterology, First Affiliated Hospital, Nanjing Medical University, Nanjing.
Bin LvDepartment of Gastroenterology, First Affiliated Hospital, Zhejiang Chinese Medical University, Hangzhou.
Jianlin RenDepartment of Gastroenterology, Zhongshan Hospital, Xiamen University, Xiamen.
Xueqing ChenDepartment of Gastroenterology, First People's Hospital of Foshan, Foshan, China.
Hui ZhangDepartment of Gastroenterology, Beijing Tian Tan Hospital, Beijing.
Chen MoInstitute of Digestive Diseases, Chinese PLA General Hospital.
Yanzhi WangInstitute of Digestive Diseases, Chinese PLA General Hospital.
Yunsheng YangInstitute of Digestive Diseases, Chinese PLA General Hospital.
Chinese PLA General Hospital · CNBeijing Tian Tan Hospital · CNKunming Medical University · CNFirst Hospital of Xi'an · CNFirst People's Hospital of Foshan · CNNanjing Medical University · CNZhejiang Chinese Medical University · CNZhongshan Hospital · CNZhongshan Hospital of Xiamen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Glasgow-Blatchford scores (GBS) and Rockall scores (RS) are commonly used for stratifying patients with nonvariceal upper gastrointestinal hemorrhage (NVUGIH). Although predictive value of these scoring methods has been extensively validated, their clinical effectiveness remains unclear. The following study evaluated the GBS and RS scoring system with reference to bleeding, needs for further surgery, endoscopic intervention and death, in order to verify their effectiveness and accuracy in clinical application.Patients who presented with NVUGIH, or who were consequently diagnosed with the disease (by endoscopy examination) between January 1, 2008, and December 31, 2012 were enrolled in the study. GBS and RS scores were compared to predict bleeding, the needs for further surgery, endoscopic intervention, death by ROC curves and AUC value.Among 2977 patients, the pre-endoscopic RS and complete RS score (CRS) were superior to the GBS score (AUC: 0.842 vs 0.804 vs 0.622, respectively) for predicting the mortality risk in patients. The pre-endoscopic RS score predicting re-bleeding was significantly higher than the CRS and the GBS score (AUC: 0.658 vs 0.548 vs 0.528, respectively). In addition, the 3 scoring systems revealed to be poor predictors of surgical operation effectiveness (AUC: 0.589 vs 0.547 vs 0.504, respectively).Our data demonstrated that the GBS and RS scoring systems could be used to predict outcomes in patients with nonvariceal upper gastrointestinal bleeding.

Indexed as

Severity of Illness IndexAdultAgedAge FactorsEndoscopy, GastrointestinalFemaleGastrointestinal HemorrhageHumansMaleMiddle AgedPrognosisProspective StudiesRisk AssessmentROC Curve

Identifiers

PMID31124950
PMCPMC6571241
OpenAlexW2946671483

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.