Performance Of The Rockall Scoring System In Predicting The Need For Intervention And Outcomes In Patients With Nonvariceal Upper Gastrointestinal Bleeding In A Brazilian Setting: A Prospective Study.

dc.creatorCustódio Lima, Juliana
dc.creatorGarcia Montes, Ciro
dc.creatorKibune Nagasako, Cristiane
dc.creatorSoares Ruppert Reis, Glaucia Fernanda
dc.creatorMeirelles Dos Santos, José Olympio
dc.creatorGuerrazzi, Fabio
dc.creatorMesquita, Maria Aparecida
dc.date2013
dc.date2015-11-27T13:32:23Z
dc.date2015-11-27T13:32:23Z
dc.date.accessioned2018-03-29T01:18:53Z
dc.date.available2018-03-29T01:18:53Z
dc.identifierDigestion. v. 88, n. 4, p. 252-7, 2013.
dc.identifier1421-9867
dc.identifier10.1159/000356313
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/24335273
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/200919
dc.identifier24335273
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1301152
dc.descriptionThis prospective study investigated the performance of pre-endoscopy and the complete Rockall scores in predicting the occurrence of adverse outcomes and the need for endoscopic or surgical intervention in patients with nonvariceal upper gastrointestinal bleeding. All 656 consecutive patients who underwent endoscopy due to nonvariceal upper gastrointestinal bleeding between 2007 and 2011 were included. Receiver operating characteristic (ROC) curves were plotted for the outcomes of therapeutic intervention, rebleeding and death. The discriminative accuracy of the risk scores was assessed by the area under the ROC curve. Endoscopic treatment was performed in 55.2% of the patients. Rebleeding and mortality rates were 7.6 and 3.8%, respectively. The pre-endoscopy Rockall scores showed unsatisfactory accuracy in predicting the need for intervention, rebleeding or death, as shown by the respective area under the ROC curve values of 0.52, 0.52 and 0.65. The accuracy of the complete Rockall score in predicting rebleeding was poor (area under ROC: 0.52), but it was higher for mortality (area under ROC: 0.69). The pre-endoscopy Rockall score was not useful for predicting the need for therapeutic intervention or adverse outcomes. The complete Rockall score showed an acceptable performance in predicting mortality, but was unable to predict rebleeding.
dc.description88
dc.description252-7
dc.languageeng
dc.relationDigestion
dc.relationDigestion
dc.rightsfechado
dc.rights
dc.sourcePubMed
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 And Over
dc.subjectArea Under Curve
dc.subjectBrazil
dc.subjectFemale
dc.subjectGastrointestinal Hemorrhage
dc.subjectGastrointestinal Neoplasms
dc.subjectHemostasis, Endoscopic
dc.subjectHumans
dc.subjectMale
dc.subjectMallory-weiss Syndrome
dc.subjectMiddle Aged
dc.subjectNeeds Assessment
dc.subjectPeptic Ulcer Hemorrhage
dc.subjectPredictive Value Of Tests
dc.subjectProspective Studies
dc.subjectRoc Curve
dc.subjectRecurrence
dc.subjectTime Factors
dc.titlePerformance Of The Rockall Scoring System In Predicting The Need For Intervention And Outcomes In Patients With Nonvariceal Upper Gastrointestinal Bleeding In A Brazilian Setting: A Prospective Study.
dc.typeArtículos de revistas


Este ítem pertenece a la siguiente institución