摘要
Abstract
Objective:To probe into the assessment effect of AIMS65 scale for the occurrence of recurrent hemor-rhage,blood transfusion needs,endoscopic examination needs,endoscopic intervention needs and risk of hospital death in patients with upper gastrointestinal bleeding.Methods:A retrospective evaluation was carried out for AIMS6 5 scale scores of hospitalized patients with upper gastrointestinal bleeding in a third grade hospital from September 1,2014 to August 31,2015,and to record the occurrence of recurrent hemorrhage,blood transfusion, endoscopic examination,endoscopic intervention,hospital death during the hospitalization.Then theχ2 test was carried out and finally analyzed the results by receiver operating characteristic curve(ROC).Results:The inci-dence of patients’recurrent hemorrhage was 20.4%,the blood transfusion rate was 39.6%,the endoscopic ex-amination rate was 93.0%,the endoscopic intervention rate was 30.9%,and the hospital mortality was 0.9%. When the AIMS65 was more than or equal to 1,the scale’s sensitivity and specificity on patients’recurrent hemorrhage assessment were respectively 0.595 7 and 0.612 0;the sensitivity and specificity for determining the patients’blood transfusion requirements were respectively 0.714 3 and 0.755 4;the sensitivity and specificity of evaluation of endoscopic examination were respectively 0.401 9 and 0.187 5;the sensitivity and specificity for e-valuation of endoscopic intervention needs were respectively 0.521 1 and 0.610 1;the sensitivity and specificity for judging death were respectively 1.000 0 and 0.574 6.This scale had good predictive effect for recurrent hem-orrhage and blood transfusion needs.The area under the ROC curve was respectively 0.620(P=0.012),0.740 (P=0.000).Conclusion:AIMS65 scale could do effective risk classification,it had good ability to predict pa-tients’recurrent hemorrhage and blood transfusion needs,but its ability was limited to predict endoscopic ex-amination and endoscopic intervention.关键词
AIMS6 5 量表/上消化道出血/风险评估/再出血/输血/内镜检查Key words
AIMS6 5 Scale/upper gastrointestinal bleeding/risk assessment/recurrent hemorrhagei blood trans-fusion/erdoscopic examination分类
医药卫生
