术前Glasgow-Blatchford和AIMS65评分对介入治疗非静脉曲张性上消化道出血患者的预后评估
Clinical application of preoperative Glasgow-Blatchford score and AIMS65 score in predicting the prognosis of patients with non-variceal upper gastrointestinal bleeding after receiving interventional treatment
张炜 1徐珉杰 2潘龙 2袁逸枫 2韩世龙3
作者信息
- 1. 210008 江苏南京 南京医科大学附属儿童医院放射科
- 2. 同济大学附属上海第十人民医院介入血管外科
- 3. 南京医科大学上海十院临床医学院介入血管外科
- 折叠
摘要
目的 探讨Glasgow-Blatchford(GBS)和AIMS65术前评分对非静脉曲张性上消化道出血患者介入治疗预后的评估作用.方法 收集2018年至2021年在上海市第十人民医院介入血管外科接受经导管动脉栓塞(TAE)治疗的59例因非静脉曲张性上消化道出血患者相关临床信息.观察患者术前GBS及AIMS65评分对术后结局的预测作用.结果 随着GBS及AIMS65术前评分数值增高,患者的病死概率越高;相比AIMS65(AUC=0.630,95％CI:0.494～0.752),GBS对于非静脉曲张性上消化道出血患者术后住院死亡结局预测价值较高(AUC=0.823,95％CI:0.702～0.910);GBS截断值＞9分时,预测患者住院死亡的约登指数为0.54.结论 GBS术前评分对非静脉曲张性上消化道出血患者术后住院死亡发生的预测价值较AIMS65更高.
Abstract
Objective To explore the clinical value of preoperative Glasgow-Blatchford score(GBS)and AIMS65 score in predicting the prognosis of patients with non-variceal upper gastrointestinal bleeding after receiving interventional treatment.Methods The clinical data of 59 patients with non-variceal upper gastrointestinal bleeding,who received transcatheter arterial embolization(TAE)at the Department of Interventional Vascular Surgery,Shanghai Tenth People's Hospital of China between 2018 and 2021,were collected.The clinical value of GBS and AIMS65 score in predicting patient's outcome was analyzed.Results With the preoperative GBS and AIMS65 scores increasing,the mortality also increased.Compared with AIMS65 score(AUC=0.630,0.95％CI:0.494-0.752),GBS(AUC=0.823,95％CI:0.702-0.910)had a higher predictive value for postoperative in-hospital death in patients with non-variceal upper gastrointestinal bleeding after receiving interventional treatment.With a GBS cutoff＞9 points,the Youden index for predicting in-hospital death was 0.54.Conclusion In predicting the postoperative in-hospital death for patients with non-variceal upper gastrointestinal bleeding after receiving TAE,the clinical value of the preoperative GBS score is higher than that of AIMS65 score.
关键词
Glasgow-Blatchford评分/AIMS65评分/非静脉曲张性上消化道出血/经导管动脉栓塞Key words
Glasgow-Blatchford score/AIMS65 score/non-variceal upper gastrointestinal bleeding/transcatheter arterial embolization引用本文复制引用
基金项目
上海市卫生健康委员会科研课题项目(2020Y0169)
出版年
2024
NETL
NSTL
万方数据