ISSN: 1859 - 2872
The value of ABC score for prognosis in patients with peptic ulcer bleeding
Main Article Content
Keywords
Abstract
Objective: To evaluate the prognostic value of the ABC score in predicting 30-day rebleeding and mortality of patients with peptic ulcer bleeding and to compare its prognostic value with Rockall score. Subject and method: This was a descriptive, prospective study conducted on 211 patients with peptic ulcer bleeding who were treated at 108 Military Central Hospital and Bach Mai Hospital, from October 2022 to July 2023. Receiver Operating Characteristic (ROC) curves were utilized to calculate the prognostic value of the ABC score and compare it with the Rockall score. Result: The study analyzed 211 patients with peptic ulcer bleeding. The ABC score had a good prognostic value for 30-day mortality, with an area under the receiver operating characteristic curve (AUROC) of 0.873, 95%CI: 0.79-0.96; p<0.001. At a cut-off value of 6, it demonstrated a sensitivity of 90.9% and specificity of 76.5%. It also showed an acceptable prognostic value for 30-day rebleeding, with an AUROC of 0.755, 95%CI: 0.63-0.88, p = 0.002. At a cut-off value of 5, it exhibited a sensitivity of 76.9% and specificity of 66.2%. When comparing the ABC score with Rockall score in predicting 30-day rebleeding and mortality, the ABC score had higher AUROC values by 0.112 and 0.06, respectively. However, these differences did not reach statistical significance. Conclusion: The ABC score proves to be a valuable prognostic tool for predicting the risk of 30-day rebleeding and mortality in patients with peptic ulcer bleeding.
Article Details
References
2. Laine L, Yang H, Chang SC et al (2012) Trends for incidence of hospitalization and death due to GI complications in the United States from 2001 to 2009. Am J Gastroenterol 107(8): 1190-1195; quiz 1196.
3. Pinto C, Parra P, Magna J et al (2020) Variceal and non-variceal upper gastrointestinal bleeding. Analysis of 249 hospitalized patients. Rev Med Chil 148(3): 288-294.
4. Rosenstock SJ, Møller MH, Larsson H et al (2013) Improving quality of care in peptic ulcer bleeding: nationwide cohort study of 13,498 consecutive patients in the Danish Clinical Register of Emergency Surgery. Am J Gastroenterol 108(9): 1449-1457.
5. 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: 9334866.
6. 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.
7. Mules T, Stedman CA, Ding S et al (2020) Tu1496 The ABC score accurately predicts mortality in hospitalized patients that develop upper gastrointestinal bleeding. Gastrointest Endosc 91(6): 590-591.
8. 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.
9. Sakong H, Moon HS, Choi SW et al (2022) ABC score is an effective predictor of outcomes in peptic ulcer bleeding. Medicine (Baltimore) 101(49): 31541.
10. Liu S, Zhang X, Walline JH et al (2021) Comparing the Performance of the ABC, AIMS65, GBS, and pRS scores in predicting 90-day mortality or rebleeding among emergency department patients with acute upper gastrointestinal bleeding: A prospective multicenter study. J Transl Intern Med 9(2): 114-122.
11. Saade MC, Kerbage A, Jabak S et al (2022) Validation of the new ABC score for predicting 30-day mortality in gastrointestinal bleeding. BMC Gastroenterol 22(1): 301.
12. Morarasu BC, Sorodoc V, Haisan A et al (2023) Age, blood tests and comorbidities and AIMS65 risk scores outperform Glasgow-Blatchford and pre-endoscopic Rockall score in patients with upper gastrointestinal bleeding. World J Clin Cases 11(19): 4513-4530.
Article Sidebar
