ISSN: 1859 - 2872
The value of the Oakland score in prognosis of patients with lower gastrointestinal bleeding
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Abstract
Objective: To determine the value of the Oakland score to predict the risk of blood transfusion and recurrent bleeding in patients with lower gastrointestinal bleeding; to compare the Oakland score with the Birmingham score and the SHAPE score in predicting the risk of blood transfusion, recurrent bleeding. Subject and method: A prospective and retrospective cross-sectional study investigating patients with LGIB admitted to the Gastroenterology Department, University Medical Center, Ho Chi Minh city from 01/5/2019 to 30/5/2021. We calculated the Oakland score, the Birmingham score, the SHAPE score and compared the area under the ROC curve (AUC) to determine the predictive value of these scores. Result: 79 patients were included. Median age of 61.89 ± 16.26, male/female ratio was similar. The rate of recurrent bleeding in the hospital was 5%, the mortality rate in hospital was 1.3%, the required blood transfusion was 30.4%. In prognosis of recurrent bleeding, the Oakland score (AUC = 0.84) was better than the Birmingham score (AUC = 0.79) and the SHAPE score (AUC = 0.74). But for predicting the risk of required blood transfusion, the Oakland score (AUC = 0.97) had the same value as the Birmingham score (AUC = 0.95) and the SHAPE score (0.94). Conclusion: The Oakland score has the good value in prognosis of clinical outcomes in patients with LGIB, especially in prediction of required blood transfusion
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References
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