Evidence map›Paper›PMID 37629235›Full record

ReviewJournal of clinical medicine2023

Pre-Endoscopic Scores Predicting Low-Risk Patients with Upper Gastrointestinal Bleeding: A Systematic Review and Meta-Analysis.

Antoine Boustany, Ali A Alali, Majid Almadi, Myriam Martel, Alan N Barkun

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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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

5 authors.

Antoine BoustanyDepartment of Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.ORCID 0000-0002-4661-1443
Ali A AlaliDepartment of Medicine, Faculty of Medicine, Kuwait University, Jabriyah 13110, Kuwait.ORCID 0000-0003-4174-9977
Majid AlmadiDepartment of Medicine, King Saud University, Riyadh 11421, Saudi Arabia.ORCID 0000-0001-9917-2758
Myriam MartelResearch Institute of the McGill University Health Center, Montreal, QC H3G 1A4, Canada.
Alan N BarkunDivision of Gastroenterology, McGill University Health Center, McGill University, Montréal, QC H3G 1A4, Canada.

Funding

King Saud University The authors extend their appreciation to the International Scientific Partnership Program ISPP at King Saud University for funding in part this research work through ISPP-21-156(1).
6 · The paper itself

Abstract

backgroundSeveral risk scores have attempted to risk stratify patients with acute upper gastrointestinal bleeding (UGIB) who are at a lower risk of requiring hospital-based interventions or negative outcomes including death. This systematic review and meta-analysis aimed to compare predictive abilities of pre-endoscopic scores in prognosticating the absence of adverse events in patients with UGIB.

methodsWe searched MEDLINE, EMBASE, Central, and ISI Web of knowledge from inception to February 2023. All fully published studies assessing a pre-endoscopic score in patients with UGIB were included. The primary outcome was a composite score for the need of a hospital-based intervention (endoscopic therapy, surgery, angiography, or blood transfusion). Secondary outcomes included: mortality, rebleeding, or the individual endpoints of the composite outcome. Both proportional and comparative analyses were performed.

resultsThirty-eight studies were included from 2153 citations, (

conclusionsA GBS cut-off of one or less prognosticated low-risk patients the best. Expanding the GBS cut-off to 2 maintains prognostic accuracy while allowing more patients to be managed safely as outpatients. The evidence is limited by the number, homogeneity, quality, and generalizability of available data and subjectivity of deciding on clinical impact. Additional, comparative and, ideally, interventional studies are needed.

Indexed as

ABCAIMS65CANUKAglasgow blatchfordmeta-analysispre-endoscopic assessmentrisk assessmentrockallupper gastrointestinal bleeding

Identifiers

PMID37629235
PMCPMC10456043

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Registered trials

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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.