An External Validation Study of the Oakland and Glasgow-Blatchford Scores for Predicting Adverse Outcomes of Acute Lower Gastrointestinal Bleeding in an Asian Population
Aims. This study is aimed at (1) validating the performance of Oakland and Glasgow-Blatchford (GBS) scores and (2) comparing these scores with the SALGIB score in predicting adverse outcomes of acute lower gastrointestinal bleeding (ALGIB) in a Vietnamese population. Methods. A multicenter cohort st...
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Wiley
2021-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2021/8674367 |
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| author | Duc Trong Quach Uyen Pham-Phuong Vo Nguyet Thi-My Nguyen Ly Thi-Kim Le Minh-Cong Hong Vo Phat Tan Ho Tran Ngoc Nguyen Phuong Kim Bo Nam Hoai Nguyen Khanh Truong Vu Manh Van Dang Minh Cao Dinh Thai Quang Nguyen Xung Van Nguyen Suong Thi-Ngoc Le Chi Pham Tran |
| author_facet | Duc Trong Quach Uyen Pham-Phuong Vo Nguyet Thi-My Nguyen Ly Thi-Kim Le Minh-Cong Hong Vo Phat Tan Ho Tran Ngoc Nguyen Phuong Kim Bo Nam Hoai Nguyen Khanh Truong Vu Manh Van Dang Minh Cao Dinh Thai Quang Nguyen Xung Van Nguyen Suong Thi-Ngoc Le Chi Pham Tran |
| author_sort | Duc Trong Quach |
| collection | DOAJ |
| description | Aims. This study is aimed at (1) validating the performance of Oakland and Glasgow-Blatchford (GBS) scores and (2) comparing these scores with the SALGIB score in predicting adverse outcomes of acute lower gastrointestinal bleeding (ALGIB) in a Vietnamese population. Methods. A multicenter cohort study was conducted on ALGIB patients admitted to seven hospitals across Vietnam. The adverse outcomes of ALGIB consisted of blood transfusion; endoscopic, radiologic, or surgical interventions; severe bleeding; and in-hospital death. The Oakland and GBS scores were calculated, and their performance was compared with that of SALGIB, a locally developed prediction score for adverse outcomes of ALGIB in Vietnamese, based on the data at admission. The accuracy of these scores was measured using the area under the receiver operating characteristic curve (AUC) and compared by the chi-squared test. Results. There were 414 patients with a median age of 60 (48–71). The rates of blood transfusion, hemostatic intervention, severe bleeding, and in-hospital death were 26.8%, 15.2%, 16.4, and 1.4%, respectively. The SALGIB score had comparable performance with the Oakland score (AUC: 0.81 and 0.81, respectively; p=0.631) and outperformed the GBS score (AUC: 0.81 and 0.76, respectively; p=0.002) for predicting the presence of any adverse outcomes of ALGIB. All of the three scores had acceptable and comparable performance for in-hospital death but poor performance for hemostatic intervention. The Oakland score had the best performance for predicting severe bleeding. Conclusions. The Oakland and SALGIB scores had excellent and comparable performance and outperformed the GBS score for predicting adverse outcomes of ALGIB in Vietnamese. |
| format | Article |
| id | doaj-art-05fd6bf01aa34e94858522b7a779e422 |
| institution | OA Journals |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
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| series | Gastroenterology Research and Practice |
| spelling | doaj-art-05fd6bf01aa34e94858522b7a779e4222025-08-20T02:03:42ZengWileyGastroenterology Research and Practice1687-61211687-630X2021-01-01202110.1155/2021/86743678674367An External Validation Study of the Oakland and Glasgow-Blatchford Scores for Predicting Adverse Outcomes of Acute Lower Gastrointestinal Bleeding in an Asian PopulationDuc Trong Quach0Uyen Pham-Phuong Vo1Nguyet Thi-My Nguyen2Ly Thi-Kim Le3Minh-Cong Hong Vo4Phat Tan Ho5Tran Ngoc Nguyen6Phuong Kim Bo7Nam Hoai Nguyen8Khanh Truong Vu9Manh Van Dang10Minh Cao Dinh11Thai Quang Nguyen12Xung Van Nguyen13Suong Thi-Ngoc Le14Chi Pham Tran15Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, VietnamDepartment of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, VietnamDepartment of Gastroenterology, Cho-Ray Hospital, VietnamDepartment of Gastroenterology, Gia-Dinh People’s Hospital, VietnamDepartment of Gastroenterology, Gia-Dinh People’s Hospital, VietnamDepartment of Gastroenterology, Cho-Ray Hospital, VietnamDepartment of Gastroenterology, Can-Tho Central Hospital, VietnamDepartment of Gastroenterology, Can-Tho Central Hospital, VietnamDepartment of Gastroenterology, Bach-Mai Hospital, VietnamDepartment of Gastroenterology, Bach-Mai Hospital, VietnamDepartment of Gastroenterology, Dong-Nai General Hospital, VietnamDepartment of Gastroenterology, Dong-Nai General Hospital, VietnamDepartment of Gastroenterology, Da-Nang General Hospital, VietnamDepartment of Gastroenterology, Da-Nang General Hospital, VietnamDepartment of Gastroenterology, Hue Central Hospital, VietnamDepartment of Gastroenterology, Hue Central Hospital, VietnamAims. This study is aimed at (1) validating the performance of Oakland and Glasgow-Blatchford (GBS) scores and (2) comparing these scores with the SALGIB score in predicting adverse outcomes of acute lower gastrointestinal bleeding (ALGIB) in a Vietnamese population. Methods. A multicenter cohort study was conducted on ALGIB patients admitted to seven hospitals across Vietnam. The adverse outcomes of ALGIB consisted of blood transfusion; endoscopic, radiologic, or surgical interventions; severe bleeding; and in-hospital death. The Oakland and GBS scores were calculated, and their performance was compared with that of SALGIB, a locally developed prediction score for adverse outcomes of ALGIB in Vietnamese, based on the data at admission. The accuracy of these scores was measured using the area under the receiver operating characteristic curve (AUC) and compared by the chi-squared test. Results. There were 414 patients with a median age of 60 (48–71). The rates of blood transfusion, hemostatic intervention, severe bleeding, and in-hospital death were 26.8%, 15.2%, 16.4, and 1.4%, respectively. The SALGIB score had comparable performance with the Oakland score (AUC: 0.81 and 0.81, respectively; p=0.631) and outperformed the GBS score (AUC: 0.81 and 0.76, respectively; p=0.002) for predicting the presence of any adverse outcomes of ALGIB. All of the three scores had acceptable and comparable performance for in-hospital death but poor performance for hemostatic intervention. The Oakland score had the best performance for predicting severe bleeding. Conclusions. The Oakland and SALGIB scores had excellent and comparable performance and outperformed the GBS score for predicting adverse outcomes of ALGIB in Vietnamese.http://dx.doi.org/10.1155/2021/8674367 |
| spellingShingle | Duc Trong Quach Uyen Pham-Phuong Vo Nguyet Thi-My Nguyen Ly Thi-Kim Le Minh-Cong Hong Vo Phat Tan Ho Tran Ngoc Nguyen Phuong Kim Bo Nam Hoai Nguyen Khanh Truong Vu Manh Van Dang Minh Cao Dinh Thai Quang Nguyen Xung Van Nguyen Suong Thi-Ngoc Le Chi Pham Tran An External Validation Study of the Oakland and Glasgow-Blatchford Scores for Predicting Adverse Outcomes of Acute Lower Gastrointestinal Bleeding in an Asian Population Gastroenterology Research and Practice |
| title | An External Validation Study of the Oakland and Glasgow-Blatchford Scores for Predicting Adverse Outcomes of Acute Lower Gastrointestinal Bleeding in an Asian Population |
| title_full | An External Validation Study of the Oakland and Glasgow-Blatchford Scores for Predicting Adverse Outcomes of Acute Lower Gastrointestinal Bleeding in an Asian Population |
| title_fullStr | An External Validation Study of the Oakland and Glasgow-Blatchford Scores for Predicting Adverse Outcomes of Acute Lower Gastrointestinal Bleeding in an Asian Population |
| title_full_unstemmed | An External Validation Study of the Oakland and Glasgow-Blatchford Scores for Predicting Adverse Outcomes of Acute Lower Gastrointestinal Bleeding in an Asian Population |
| title_short | An External Validation Study of the Oakland and Glasgow-Blatchford Scores for Predicting Adverse Outcomes of Acute Lower Gastrointestinal Bleeding in an Asian Population |
| title_sort | external validation study of the oakland and glasgow blatchford scores for predicting adverse outcomes of acute lower gastrointestinal bleeding in an asian population |
| url | http://dx.doi.org/10.1155/2021/8674367 |
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