Scoring systems for risk stratification in upper and lower gastrointestinal bleeding

被引：3

作者：

Radaelli, Franco ^{[1
]}

Rocchetto, Simone ^{[2
]}

Piagnani, Alessandra ^{[2
]}

Savino, Alberto ^{[3
]}

Di Paolo, Dhanai ^{[1
]}

Scardino, Giulia ^{[1
]}

Paggi, Silvia ^{[1
]}

Rondonotti, Emanuele ^{[1
]}

机构：

[1] Valduce Hosp, Gastroenterol Unit, Via Dante 10, I-22100 Como, Italy

[2] Univ Milan, Fdn IRCCS Ca Granda Osped Maggiore Policlin, Dept Gastroenterol & Hepatol, Via Festa Perdono 7, I-20122 Milan, MI, Italy

[3] Univ Milano Bicocca, Dept Med & Surg, Div Gastroenterol, Piazza Ateneo Nuovo 1, I-20126 Milan, Italy

来源：

BEST PRACTICE & RESEARCH CLINICAL GASTROENTEROLOGY | 2023年 / 67卷

关键词：

Gastrointestinal hemorrhages; Risk assessments; Risk scores; Upper gastrointestinal bleeding; Lower gastrointestinal bleeding; GLASGOW-BLATCHFORD SCORE; ENDOSCOPIC THERAPY; ROCKALL SCORE; VALIDATION; HEMORRHAGE; MANAGEMENT; PERFORMANCE; GUIDELINE; MORTALITY;

D O I：

10.1016/j.bpg.2023.101871

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Several scoring systems have been developed for both upper and lower GI bleeding to predict the bleeding severity and discriminate between low-risk patients, who may be suitable for outpatient management, and those who would likely need hospital-based interventions and are at high risk for adverse outcomes. Risk scores created to identify low-risk patients (namely the Glasgow Blatchford Score and the Oakland score) showed very good discriminative performances and their implementation has proven to be effective in reducing hospital admissions and healthcare burden. Conversely, the performances of risk scores in identifying specific adverse events to define high-risk patients are less accurate, and whether their integration into routine clinical practice has a tangible impact on patient management remains unproven.This review describes the existing risk score systems for GI bleeding, emphasizes key research findings, elucidates the circumstances in which their utilization can be beneficial, examines their constraints when considering routine clinical application, and discuss future development.

引用

页数：7