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https://www.readbyqxmd.com/read/28377105/association-between-an-increase-in-blood-urea-nitrogen-at-24-hours-and-worse-outcomes-in-acute-nonvariceal-upper-gi-bleeding
#1
Navin L Kumar, Brian L Claggett, Aaron J Cohen, Jennifer Nayor, John R Saltzman
BACKGROUND AND AIMS: An increase in blood urea nitrogen (BUN) at 24 hours is a solitary and significant predictor of mortality in patients with acute pancreatitis, which may predict worse outcomes in the similarly resuscitation-requiring condition of acute nonvariceal upper gastrointestinal bleeding (UGIB). The aim of our study is to assess if an increase in BUN at 24 hours is predictive of worse clinical outcomes in acute nonvariceal UGIB. METHODS: A retrospective cohort study was conducted of patients admitted to an academic hospital from 2004 to 2014...
April 1, 2017: Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28286843/clinical-scoring-systems-in-predicting-the-outcome-of-acute-upper-gastrointestinal-bleeding-a-narrative-review
#2
REVIEW
Hanieh Ebrahimi Bakhtavar, Hamid Reza Morteza Bagi, Farzad Rahmani, Kavous Shahsavari Nia, Arezu Ettehadi
Prediction of the outcome and severity of acute upper gastrointestinal bleeding (UGIB) has significant importance in patient care, disposition, and determining the need for emergent endoscopy. Recent international recommendations endorse using scoring systems for management of non-variceal UGIB patients. To date, different scoring systems have been developed for predicting the risk of 30-day mortality and re-bleeding. We have discussed the screening performance characteristics of Baylor bleeding score, the Rockall risk scoring score, Cedars-Sinai Medical Center predictive index, Glasgow Blatchford score, T-score, and AIMS65 systems, in the present review...
2017: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/28053181/comparison-of-risk-scoring-systems-for-patients-presenting-with-upper-gastrointestinal-bleeding-international-multicentre-prospective-study
#3
MULTICENTER STUDY
Adrian J Stanley, Loren Laine, Harry R Dalton, Jing H Ngu, Michael Schultz, Roseta Abazi, Liam Zakko, Susan Thornton, Kelly Wilkinson, Cristopher J L Khor, Iain A Murray, Stig B Laursen
OBJECTIVE:  To compare the predictive accuracy and clinical utility of five risk scoring systems in the assessment of patients with upper gastrointestinal bleeding. DESIGN:  International multicentre prospective study. SETTING:  Six large hospitals in Europe, North America, Asia, and Oceania. PARTICIPANTS:  3012 consecutive patients presenting over 12 months with upper gastrointestinal bleeding. MAIN OUTCOME MEASURES:  Comparison of pre-endoscopy scores (admission Rockall, AIMS65, and Glasgow Blatchford) and post-endoscopy scores (full Rockall and PNED) for their ability to predict predefined clinical endpoints: a composite endpoint (transfusion, endoscopic treatment, interventional radiology, surgery, or 30 day mortality), endoscopic treatment, 30 day mortality, rebleeding, and length of hospital stay...
January 4, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27930875/comparison-of-three-scoring-systems-in-predicting-clinical-outcomes-in-patients-with-acute-upper-gastrointestinal-bleeding-a-prospective-observational-study
#4
Min Zhong, Wan Jun Chen, Xiao Ye Lu, Jie Qian, Chang Qing Zhu
OBJECTIVE: To compare the performances of the Glasgow-Blatchford score (GBS), modified GBS (mGBS) and AIMS65 in predicting clinical outcomes in patients with acute upper gastrointestinal bleeding (AUGIB). METHODS: This study enrolled 320 consecutive patients with AUGIB. Patients at high and low risks of developing adverse clinical outcomes (rebleeding, the need of clinical intervention and death) were categorized according to the GBS, mGBS and AIMS65 scoring systems...
December 2016: Journal of Digestive Diseases
https://www.readbyqxmd.com/read/27887038/aims65-score-a-new-prognostic-tool-to-predict-mortality-in-variceal-bleeding
#5
T Cúrdia Gonçalves, M Barbosa, S Xavier, P Boal Carvalho, J Magalhães, C Marinho, J Cotter
No abstract text is available yet for this article.
April 2017: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/27782896/variceal-bleeding-in-cirrhotic-patients-what-is-the-best-prognostic-score
#6
Asmaa N Mohammad, Khairy H Morsy, Moustafa A Ali
BACKGROUND/AIMS: To find the most accurate, suitable, and applicable scoring system for the prediction of outcome in cirrhotic patients with bleeding varices. MATERIALS AND METHODS: A prospective study was conducted comprising 120 cirrhotic patients with acute variceal bleeding who were admitted to Tropical Medicine and Gastroenterology Department in Sohag University Hospital, over a 1-year period (1/2015 to 1/2016). The clinical, laboratory, and endoscopic parameters were studied...
September 2016: Turkish Journal of Gastroenterology: the Official Journal of Turkish Society of Gastroenterology
https://www.readbyqxmd.com/read/27740523/validation-of-prognostic-scores-for-clinical-outcomes-in-cirrhotic-patients-with-acute-variceal-bleeding
#7
MULTICENTER STUDY
Miguel Motola-Kuba, Angélica Escobedo-Arzate, Félix Tellez-Avila, José Altamirano, Nancy Aguilar-Olivos, Alberto González-Angulo, Felipe Zamarripa-Dorsey, Misael Uribe, Norberto C Chávez-Tapia
Background. The Rockall, Glasgow-Blatchford, and AIMS65 are useful and validated scoring systems for predicting the outcomes of patients with nonvariceal gastrointestinal bleeding. However, there are no validated evidence for using them to predict outcomes on variceal bleeding. The aim of this study was to evaluate and compare the prognostic accuracy of different nonvariceal bleeding scores with other liver-specific scoring systems in cirrhotic patients. MATERIAL AND METHODS: A retrospective multicenter study that included 160 cirrhotic patients with acute variceal bleeding...
November 2016: Annals of Hepatology
https://www.readbyqxmd.com/read/27648468/blatchford-score-is-superior-to-aims65-score-in-predicting-the-need-for-clinical-interventions-in-elderly-patients-with-nonvariceal-upper-gastrointestinal-bleed
#8
Khalid Abusaada, Fnu Asad-Ur-Rahman, Vladimir Pech, Umair Majeed, Shengchuan Dai, Xiang Zhu, Sally A Litherland
Background. Blatchford and AIMS65 scores were developed to risk stratify patients with upper gastrointestinal bleed (UGIB). We sought to assess the performance of Blatchford and AIMS65 scores in predicting outcomes in elderly patients with nonvariceal UGIB. Methods. A retrospective cohort study of elderly patients (over 65 years of age) with nonvariceal UGIB admitted to a tertiary care center. Primary outcome was a combined outcome of in-hospital mortality, need for any therapeutic endoscopic, radiologic, or surgical intervention, rebleeding within 30 days, or blood transfusion...
2016: Advances in Medicine
https://www.readbyqxmd.com/read/27640399/the-predictive-value-of-preendoscopic-risk-scores-to-predict-adverse-outcomes-in-emergency-department-patients-with-upper-gastrointestinal-bleeding-a-systematic-review
#9
Rosa Ramaekers, Muhammad Mukarram, Christine A M Smith, Venkatesh Thiruganasambandamoorthy
OBJECTIVES: Risk stratification of emergency department (ED) patients with upper gastrointestinal bleeding (UGIB) using preendoscopic risk scores can aid ED physicians in disposition decision-making. We conducted a systematic review to assess the predictive value of preendoscopic risk scores for 30-day serious adverse events. METHODS: We searched MEDLINE, PubMed, Embase, and the Cochrane Database of Systematic Reviews from inception to March 2015. We included studies involving adult ED UGIB patients evaluating preendoscopic risk scores and excluded reviews, case reports, and animal studies...
November 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27409091/-comparison-between-glascow-blatchford-rockall-and-aims65-scores-in-patients-with-upper-gastrointestinal-bleeding-in-a-hospital-in-lima-peru
#10
COMPARATIVE STUDY
Jorge Espinoza-Ríos, Victor Aguilar Sánchez, Eduar Alban Bravo Paredes, José Pinto Valdivia, Jorge Huerta-Mercado Tenorio
OBJECTIVE: Identify the best score that predicts each variable outcome (mortality, rebleeding and need for transfusion for more than 2 red blood cells pack) in patients with upper gastrointestinal bleeding until 30 days of the event. Material y methods: Patients included were those over 18 years, who had upper gastrointestinal bleeding between January 2014 to June 2015 in a general hospital of third level. The data was analyzed by the area under the curve ROC (Receiver Operating Characteristic)...
April 2016: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
https://www.readbyqxmd.com/read/27403303/comparison-of-aims65-glasgow-blatchford-score-and-rockall-score-in-a-european-series-of-patients-with-upper-gastrointestinal-bleeding-performance-when-predicting-in-hospital-and-delayed-mortality
#11
Juan G Martínez-Cara, Rita Jiménez-Rosales, Margarita Úbeda-Muñoz, Mercedes López de Hierro, Javier de Teresa, Eduardo Redondo-Cerezo
OBJECTIVE: AIMS65 is a score designed to predict in-hospital mortality, length of stay, and costs of gastrointestinal bleeding. Our aims were to revalidate AIMS65 as predictor of inpatient mortality and to compare AIMS65's performance with that of Glasgow-Blatchford (GBS) and Rockall scores (RS) with regard to mortality, and the secondary outcomes of a composite endpoint of severity, transfusion requirements, rebleeding, delayed (6-month) mortality, and length of stay. METHODS: The study included 309 patients...
June 2016: United European Gastroenterology Journal
https://www.readbyqxmd.com/read/27377742/comparison-of-aims65-score-and-other-scoring-systems-for-predicting-clinical-outcomes-in-koreans-with-nonvariceal-upper-gastrointestinal-bleeding
#12
Sung Min Park, Seok Cheon Yeum, Byung-Wook Kim, Joon Sung Kim, Ji Hee Kim, Eun Hui Sim, Jeong-Seon Ji, Hwang Choi
BACKGROUND/AIMS: The AIMS65 score has not been sufficiently validated in Korea. The objective of this study was to compare the AIMS65 and other scoring systems for the prediction of various clinical outcomes in Korean patients with acute nonvariceal upper gastrointestinal bleeding (NVUGIB). METHODS: The AIMS65 score, clinical and full Rockall scores (cRS and fRS) and Glasgow-Blatchford (GBS) score were calculated in patients with NVUGIB in a single center retrospectively...
July 15, 2016: Gut and Liver
https://www.readbyqxmd.com/read/27356670/glasgow-blatchford-pre-endoscopic-rockall-and-aims65-scores-show-no-difference-in-predicting-rebleeding-rate-and-mortality-in-variceal-bleeding
#13
Ivan Budimir, Marina Gradišer, Marko Nikolić, Neven Baršić, Neven Ljubičić, Dominik Kralj, Ivan Budimir
OBJECTIVE: To compare the performance of the Glasgow Blatchford score (GBS), pre-endoscopic Rockall score (PRS) and AIMS65 score in predicting specific clinical endpoints following variceal upper gastrointestinal hemorrhage (UGIH). MATERIAL AND METHODS: Between January 2008 and December 2013, we retrospectively analyzed 225 consecutive hospitalized patients managed for endoscopically confirmed UGIH. RESULTS: A total of 225 patients (mean age 61...
November 2016: Scandinavian Journal of Gastroenterology
https://www.readbyqxmd.com/read/27075860/comparison-of-three-scor%C3%A4-ng-systems-for-risk-stratif%C3%A4-cation-in-elderly-pat%C3%A4-ents-w%C3%A4-th-acute-upper-gastrointestinal-bleed%C3%A4-ng
#14
Çağdaş Kalkan, Irfan Soykan, Fatih Karakaya, Ali Tüzün, Zeynep Bıyıklı Gençtürk
AIM: Acute gastrointestinal bleeding is a potentially life-threatening condition that requires rapid assessment and dynamic management. Several scoring systems are used to predict mortality and rebleeding in such cases. The aim of the present study was to compare three scoring systems for predicting short-term mortality, rebleeding, duration of hospitalization and the need for blood transfusion in elderly patients with upper gastrointestinal bleeding. METHODS: The present study included 335 elderly patients with upper gastrointestinal bleeding...
April 14, 2016: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/27061908/evaluation-of-scoring-models-for-identifying-the-need-for-therapeutic-intervention-of-upper-gastrointestinal-bleeding-a-new-prediction-score-model-for-japanese-patients
#15
Chikara Iino, Tatsuya Mikami, Takasato Igarashi, Tomoyuki Aihara, Kentaro Ishii, Jyuichi Sakamoto, Hiroshi Tono, Shinsaku Fukuda
BACKGROUND AND AIM: Multiple scoring systems have been developed to predict outcomes in patients with upper gastrointestinal bleeding. We determined how well these and a newly established scoring model predict the need for therapeutic intervention, excluding transfusion, in Japanese patients with upper gastrointestinal bleeding. METHODS: We reviewed data from 212 consecutive patients with upper gastrointestinal bleeding. Patients requiring endoscopic intervention, operation, or interventional radiology were allocated to the therapeutic intervention group...
November 2016: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/26802886/-aims65-score-validation-for-upper-gastrointestinal-bleeding-in-the-national-hospital-cayetano-heredia
#16
Víctor Aguilar Sánchez, Eduar Alban Bravo Paredes, José Luis Pinto Valdivia, Vanessa Valenzuela Granados, Jorge Luis Espinoza-Rios
OBJECTIVE: To validate the score AIMS65 in patients with upper gastrointestinal bleeding, in terms of mortality and rebleeding a 30-day event. MATERIAL AND METHODS: Patients included were those with higher age to 18 years attending the Hospital Nacional Cayetano Heredia during the period May 2013 to December 2014, by upper gastrointestinal bleeding. Data were analyzed using ROC curve (Receiver Operating Characteristic) and the area was obtained under the curve (AUC) to properly qualify the score AIMS65...
October 2015: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
https://www.readbyqxmd.com/read/26668799/the-aims65-score-is-a-useful-predictor-of-mortality-in-patients-with-nonvariceal-upper-gastrointestinal-bleeding-urgent-endoscopy-in-patients-with-high-aims65-scores
#17
Sun Wook Park, Young Wook Song, Dae Hyun Tak, Byung Moo Ahn, Sun Hyung Kang, Hee Seok Moon, Jae Kyu Sung, Hyun Yong Jeong
BACKGROUND/AIMS: To validate the AIMS65 score for predicting mortality of patients with nonvariceal upper gastrointestinal bleeding and to evaluate the effectiveness of urgent (<8 hours) endoscopic procedures in patients with high AIMS65 scores. METHODS: This was a 5-year single-center, retrospective study. Nonvariceal, upper gastrointestinal bleeding was assessed by using the AIM65 and Rockall scores. Scores for mortality were assessed by calculating the area under the receiver-operating characteristic curve (AUROC)...
November 2015: Clinical Endoscopy
https://www.readbyqxmd.com/read/26668788/can-aims65-save-the-endoscopists-from-midnight-calls
#18
Joon Sung Kim, Byung-Wook Kim
No abstract text is available yet for this article.
November 2015: Clinical Endoscopy
https://www.readbyqxmd.com/read/26536295/risk-assessment-scores-for-patients-with-upper-gastrointestinal-bleeding-and-their-use-in-clinical-practice
#19
Katy M Waddell, Adrian J Stanley
Upper gastrointestinal bleeding (UGIB) is a common cause for emergency admission to hospital representing a significant clinical as well as economic burden. UGIB encompasses a wide range of severities from life-threatening exsanguination to minor bleeding that may not require hospital admission. Patients with UGIB are often initially assessed and managed by junior doctors and non-gastroenterologists. Several risk scores have been created for the assessment of these patients, some requiring endoscopic data for calculation and others that are calculable from clinical data alone...
2015: Hospital Practice (Minneapolis)
https://www.readbyqxmd.com/read/26515955/risk-stratification-in-acute-upper-gi-bleeding-comparison-of-the-aims65-score-with-the-glasgow-blatchford-and-rockall-scoring-systems
#20
Marcus Robertson, Avik Majumdar, Ray Boyapati, William Chung, Tom Worland, Ryma Terbah, James Wei, Steve Lontos, Peter Angus, Rhys Vaughan
BACKGROUND AND AIMS: The American College of Gastroenterology recommends early risk stratification in patients presenting with upper GI bleeding (UGIB). The AIMS65 score is a risk stratification score previously validated to predict inpatient mortality. The aim of this study was to validate the AIMS65 score as a predictor of inpatient mortality in patients with acute UGIB and to compare it with established pre- and postendoscopy risk scores. METHODS: ICD-10 (International Classification of Diseases, Tenth Revision) codes identified patients presenting with UGIB requiring endoscopy...
June 2016: Gastrointestinal Endoscopy
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