ISSN: 1859 - 2872
The value of ABC score for prognosis of acute variceal bleeding in patients with cirrhosis
Main Article Content
Keywords
ABC score, acute variceal bleeding, cirrhosis
Abstract
Objective: To assess the value of ABC score in predicting early rebleeding and early mortality in cirrhotic patients with acute variceal bleeding (AVB). Subject and method: A cross-sectional descriptive study carried out on 201 cirrhotic patients with AVB at 108 Military Central Hospital between September 2022 and April 2023. To compare ABC score with the rate of early rebleeding and early mortality. Result: ABC score had a good prognostic power in early mortality (0.804, 95% CI: 0.70-0.91. p<0.001), at the cut-off value of 8, ABC score had 81.0% sensitivity, 79.4% specificity) and an acceptable predicting value in re-bleeding (AUROC 0.744; 95%CI: 0.59-0.89; p=0.002), at the cut-off value of 9, ABC score had 62.5% sensitivity and 84.9% specificity. Conclusion: ABC score has a significant perfomance in the prognosis of early rebleeding and early mortality in cirrhotic patients with AVB.
Article Details
References
1. Leerdam M van (2008) Epidemiology of acute upper gastrointestinal bleeding. Best Pract Res Clin Gastroenterol 22(2): 209-224.
2. Kim J, Sheibani S, Park S et al (2014) Causes of bleeding and outcomes in patients hospitalized with upper gastrointestinal bleeding. J Clin Gastroenterol 48(2): 113-118.
3. Thabut D and Bernard-Chabert B (2007) Management of acute bleeding from portal hypertension. Best Pract Res Clin Gastroenterol 21(1): 19-29.
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7. Laursen SB, Oakland K, Laine L et al (2021) ABC score: A new risk score that accurately predicts mortality in acute upper and lower gastrointestinal bleeding: An international multicentre study. Gut 70(4): 707-716.
8. Doyle DJ, Hendrix JM, and Garmon EH (2023) American Society of Anesthesiologists Classification. StatPearls.
9. Elshaarawy O, Allam N, Abdelsameea E et al (2020) Platelet-albumin-bilirubin score - a predictor of outcome of acute variceal bleeding in patients with cirrhosis. World J Hepatol 12(3): 99-107.
10. Robertson M, Ng J, Abu Shawish W et al (2020) Risk stratification in acute variceal bleeding: Comparison of the AIMS65 score to established upper gastrointestinal bleeding and liver disease severity risk stratification scoring systems in predicting mortality and rebleeding. Dig Endosc 32(5): 761-768.
11. Elsafty RE, Elsawy AA, Selim AF et al (2021) Performance of albumin-bilirubin score in prediction of hepatic encephalopathy in cirrhotic patients with acute variceal bleeding. Egypt Liver J 11(1): 1-7.
12. Garcia-Tsao G, Abraldes JG, Berzigotti A et al (2017) Portal hypertensive bleeding in cirrhosis: Risk stratification, diagnosis, and management: 2016 practice guidance by the American Association for the study of liver diseases. Hepatology 65(1): 310-335.
13. Xavier SA, Vilas-Boas R, Carvalho PB et al (2018) Assessment of prognostic performance of Albumin-Bilirubin, Child-Pugh, and Model for End-stage Liver Disease scores in patients with liver cirrhosis complicated with acute upper gastrointestinal bleeding. Eur J Gastroenterol Hepatol 30(6) 652–658.
14. Vũ Công Hoan (2022) Giá trị của thang điểm ABC score trong tiên lượng bệnh nhân xuất huyết tiêu hóa cao. Luận văn thạc sĩ, Đại học Y Hà Nội.
15. Li Y, Lu Q, Wu K et al (2022) Evaluation of six preendoscopy scoring systems to predict outcomes for older adults with upper gastrointestinal bleeding. Gastroenterol Res Pract 2022.
16. Jimenez-Rosales R, Lopez-Tobaruela JM, Lopez-Vico M et al (2023) Performance of the New ABC and MAP(ASH) Scores in the Prediction of Relevant Outcomes in Upper Gastrointestinal Bleeding. J Clin Med 12(3): 1085.
17. Mules TC, Stedman C Ding S et al (2021) Comparison of risk scoring systems in hospitalised patients who develop upper gastrointestinal bleeding. GastroHep 3(1): 5-11.
2. Kim J, Sheibani S, Park S et al (2014) Causes of bleeding and outcomes in patients hospitalized with upper gastrointestinal bleeding. J Clin Gastroenterol 48(2): 113-118.
3. Thabut D and Bernard-Chabert B (2007) Management of acute bleeding from portal hypertension. Best Pract Res Clin Gastroenterol 21(1): 19-29.
4. Jairath V, Rehal S, Logan R et al (2014) Acute variceal haemorrhage in the United Kingdom: Patient characteristics, management and outcomes in a nationwide audit. Dig Liver Dis 46(5): 419-426.
5. Aluizio CL de S, Montes CG, Reis GFSR et al (2021) Risk stratification in acute variceal bleeding: Far from an ideal score. Clinics 76: 2921.
6. Franchis R, Bosch J, Garcia-Tsao G et al (2022) Baveno VII - Renewing consensus in portal hypertension. J Hepatol 76(4) 959-974.
7. Laursen SB, Oakland K, Laine L et al (2021) ABC score: A new risk score that accurately predicts mortality in acute upper and lower gastrointestinal bleeding: An international multicentre study. Gut 70(4): 707-716.
8. Doyle DJ, Hendrix JM, and Garmon EH (2023) American Society of Anesthesiologists Classification. StatPearls.
9. Elshaarawy O, Allam N, Abdelsameea E et al (2020) Platelet-albumin-bilirubin score - a predictor of outcome of acute variceal bleeding in patients with cirrhosis. World J Hepatol 12(3): 99-107.
10. Robertson M, Ng J, Abu Shawish W et al (2020) Risk stratification in acute variceal bleeding: Comparison of the AIMS65 score to established upper gastrointestinal bleeding and liver disease severity risk stratification scoring systems in predicting mortality and rebleeding. Dig Endosc 32(5): 761-768.
11. Elsafty RE, Elsawy AA, Selim AF et al (2021) Performance of albumin-bilirubin score in prediction of hepatic encephalopathy in cirrhotic patients with acute variceal bleeding. Egypt Liver J 11(1): 1-7.
12. Garcia-Tsao G, Abraldes JG, Berzigotti A et al (2017) Portal hypertensive bleeding in cirrhosis: Risk stratification, diagnosis, and management: 2016 practice guidance by the American Association for the study of liver diseases. Hepatology 65(1): 310-335.
13. Xavier SA, Vilas-Boas R, Carvalho PB et al (2018) Assessment of prognostic performance of Albumin-Bilirubin, Child-Pugh, and Model for End-stage Liver Disease scores in patients with liver cirrhosis complicated with acute upper gastrointestinal bleeding. Eur J Gastroenterol Hepatol 30(6) 652–658.
14. Vũ Công Hoan (2022) Giá trị của thang điểm ABC score trong tiên lượng bệnh nhân xuất huyết tiêu hóa cao. Luận văn thạc sĩ, Đại học Y Hà Nội.
15. Li Y, Lu Q, Wu K et al (2022) Evaluation of six preendoscopy scoring systems to predict outcomes for older adults with upper gastrointestinal bleeding. Gastroenterol Res Pract 2022.
16. Jimenez-Rosales R, Lopez-Tobaruela JM, Lopez-Vico M et al (2023) Performance of the New ABC and MAP(ASH) Scores in the Prediction of Relevant Outcomes in Upper Gastrointestinal Bleeding. J Clin Med 12(3): 1085.
17. Mules TC, Stedman C Ding S et al (2021) Comparison of risk scoring systems in hospitalised patients who develop upper gastrointestinal bleeding. GastroHep 3(1): 5-11.
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Published
Aug 8, 2023
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Articles
How to Cite
TrangN. T. H., ThịnhN. T., BìnhM. T., TuyếtT. T. Ánh, MạnhN. V., TuấnN. A., TháiN. V., Giang Đinh T., HùngT. X., & KỳT. D. (2023). The value of ABC score for prognosis of acute variceal bleeding in patients with cirrhosis. Tạp Chí Y Dược lâm sàng 108, 18(5). https://doi.org/10.52389/ydls.v18i5.1884