ỨNG DỤNG THANG ĐIỂM ABC TRONG TIÊN LƯỢNG BỆNH NHÂN XUẤT HUYẾT TIÊU HÓA TRÊN TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

Background: Upper gastrointestinal bleeding is an emergency disease that requires timely diagnosis and treatment, in which prognosis is an important issue. Recently, the ABC score was introduced with the ability to predict 30-day mortality in patients with upper gastrointestinal bleeding. Objective: Evaluate treatment outcomes and apply the ABC score to predict mortality during hospital stay, 30 days and 60 days after discharge in patients with upper gastrointestinal bleeding. Material and methods: Cross-sectional descriptive study of 173 patients with upper gastrointestinal bleeding treated at the Clinical Hematology and Gastroenterology Department of Can Tho Central General Hospital. Results: 97.7% discharged from hospital, 2.3% died. Patient mortality after 30 days and 60 days was 5.2% and 18.5%, respectively. The average ABC score was 4.15±2.02, of which the highest scores were 3 and 5 with 22.2%. In the ABC group <3 points, group 4-7 points and group >7 points, the in-hospital, 30 and 60-day mortality rates were 1.4%, 2.9% and 8.6%; 0%, 4.3% and 22.8%; 27.3%, 27.3% and 45.5%, respectively. Evaluating the ABC score and in-hospital mortality AUC was 0.768 (0.411-1.0) and the cutoff point was 8 with a sensitivity of 75% and specificity of 95.3%. Evaluating the ABC score and mortality after 30 days AUC was 0.655 (0.463-0.846) and the cutoff point was 7 with a sensitivity of 33% and specificity of 95.1%. Evaluating the ABC score and mortality after 60 days AUC was 0.699 (0.601-0.797), the cutoff point was 4 with a sensitivity of 81% and specificity of 55%. Conclusion: The ABC score is capable of predicting in-hospital mortality better than 30 days and 60 days after discharge.