Evidence map›Paper›PMID 34405815›Full record

ArticleThe Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology2021

Clinical Scoring Systems in Predicting the Outcomes of Small Bowel Bleeding.

Su Shual, Zhang Zhifang, Wang Yuming, Jin Hong, Sun Chao, Jiang Kui, Wang Bangmao

Abstract read
In one paragraph

Article in The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

7 authors.

Su ShualDepartment of gastroenterology and hepatology, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.
Zhang ZhifangDepartment of Neurology, Tianjin Xiqing Hospital, Tianjin, People's Republic of China.
Wang YumingDepartment of gastroenterology and hepatology, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.
Jin HongDepartment of gastroenterology and hepatology, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.
Sun ChaoDepartment of gastroenterology and hepatology, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.
Jiang KuiDepartment of gastroenterology and hepatology, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.
Wang BangmaoDepartment of gastroenterology and hepatology, Tianjin Medical University General Hospital, Tianjin, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim was to assess the clinical Glasgow-Blatchford score (GBS), Rockall score (CRS), and AIMS65 score in predicting outcomes (rebleeding, need for intervention, and length of stay) among patients with small bowel hemorrhage.

methodsWe conducted a retrospective study of patients with small bowel bleeding (SBB). Rebleeding, need for intervention, and length of stay was investigated by 3 scoring systems. The area under the receiver operator characteristic curve was used to analyze the performance of 3 scoring systems.

resultsAmong 162 included patients, the scores of rebleeding, intervention, and length of stay ≥10 days groups were higher than no rebleeding, non-intervention, and length of stay <10 days groups, respectively (P < .05). The CRS, GBS, and AIMS65 scoring systems demonstrated statistically significant difference in predicting rebleeding (AUROC 0.693 vs. 0.790 vs. 0.740; all P < .01), intervention (AUROC: 0.726 vs. 0.825 vs. 0.773; all P < .01) and length of stay (AUROC 0.651 vs. 0.631 vs. 0.635; all P < .05). Higher cut-off scores achieved better sensitivity/specificity [rebleeding (CRS > 2, GBS > 7, AIMS65 > 0); need for intervention (CRS > 2, GBS > 7, AIMS65 > 0); length of stay (CRS > 0, GBS > 7, AIMS65 > 1)] in the risk stratification.

conclusionsThe GBS system is reliable to be recommended for routine use in predicting rebleeding and the need for intervention for early decision making in patients with SBB. The 3 scoring systems are poorly useful in predicting length of stay.

Indexed as

AdultAgedAnti-Inflammatory Agents, Non-SteroidalBlood TransfusionCardiovascular DiseasesComorbidityGastrointestinal HemorrhageHumansHypertensionMiddle AgedPrognosisRetrospective StudiesRisk AssessmentROC CurveSeverity of Illness IndexAnti-Inflammatory Agents, Non-Steroidal

Identifiers

PMID34405815
PMCPMC8975372

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.