国际老年医学杂志2024，Vol.45Issue(1)：69-75,7.DOI:10.3969/j.issn.1674-7593.2024.01.013
AIMS65与GBS评分联合红细胞分布宽度预测肝硬化食管胃底静脉曲张破裂出血患者住院死亡
AIMS65 Score and GBS Score Combined with Red Blood Cell Distribution Width to Predict the In-hospital Death in Cirrhotic Patients with Esophageal and Gastric Varices Bleeding
摘要
Abstract
Objective To investigate the clinical value of AIMS65 score and Glasgow-Blatchford(GBS)score combined with red blood cell distribution width(RDW)in predicting in-hospital death in patients with esophageal and gastric variceal bleeding(EGVB)in cirrhosis with a view to providing a reference for early intervention in such patients.Methods A total of 396 patients with cirrhotic EGVB who were hospitalised in the Department of Gastroenterology of the First Affiliated Hospital of Harbin Medical Uni-versity from June 2016 to June 2022 were retrospectively included and divided into death group(n=36)and survival group(n=360)according to whether they died during hospitalization.The clinical data of the two groups was collected by electronic medical re-cord system,multivariate logistic regression analysis was used to screen the independent risk factors of in-hospital death of EGVB in liver cirrhosis;ROC curve analysis was used to analyze the clinical value of AIMS65 score combined with RDW in predicting in-hos-pital death of EGVB in liver cirrhosis.Results The proportion of hepatic encephalopathy,RDW,platelets,C-reactive protein,model for end-stage liver disease(MELD)score,GBS score,and AIMS65 score that were significantly different in univariate analy-sis were included as independent variables in multivariate logistic regression analysis,and hepatic encephalopathy,RDW＞14.50％,GBS score＞10.65 points,and AIMS65 score＞3.35 points were independent risk factors for in-hospital death in cirrhotic EGVB pa-tients(P＜0.05).ROC curve showed that the AUC of A1MS65 score combined with RDW in predicting in-hospital death in cirrhot-ic EGVB patients was 0.857,and the comprehensive performance was better than that of GBS score combined with RDW.Conclusion AIMS65 score and elevated RDW are independent risk factors for in-hospital death in cirrhotic patients with EGVB,and the com-bination of the two has a high clinical value for predicting the risk of in-hospital all-cause death.关键词
肝硬化/食管胃底静脉曲张破裂出血/红细胞分布宽度/住院死亡Key words
Liver cirrhosis/Esophageal and gastric variceal bleeding/Red cell distribution width/Death in hospital引用本文复制引用
韩瑜,孙瑶,张超,马丽..AIMS65与GBS评分联合红细胞分布宽度预测肝硬化食管胃底静脉曲张破裂出血患者住院死亡[J].国际老年医学杂志,2024,45(1):69-75,7.基金项目
黑龙江省自然科学基金项目(YQ2020H018) （YQ2020H018）
