지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한상부위장관 헬리코박터학회 Korean Journal of Helicobacter Upper Gastrointestinal Research Korean Journal of Helicobacter Upper Gastrointestinal Research 제24권 제3호
- 발행연도
- 2024.9
- 수록면
- 267 - 275 (9page)
이용수
초록· 키워드
오류제보하기
Objectives: In cases of nonvariceal upper gastrointestinal bleeding (NVUGIB), endoscopic intervention within the first 24 hours is widely recommended. However, data on the efficacy of urgent endoscopy are limited. Here, we used the Glasgow–Blatchford score to assess bleeding outcomes based on time-to-endoscopy. Methods: Prospectively collected multicenter data, which included 1554 patients with NVUGIB, were retrospectively reviewed between February 2011 and December 2013. Based on time-to-endoscopy, patients were grouped into the early (<24 hours) versus the delayed (≥24 hours) group and the urgent (<6 hours) versus the nonurgent (≥6 hours) group. The rates of re-bleeding, mortality, secondary intervention, transfusion, and morbidity aggravation were analyzed. Results: The mean time-to-endoscopy and median Glasgow–Blatchford score were 33.0±75.5 hours and 12 (range: 1–23), respectively. Univariate analyses revealed that in the delayed endoscopy group, the transfusion and re-bleeding rates were higher (hazard ratio [HR]: 1.257, 95% confidence interval [CI]: 1.026–1.540) and lower (HR: 0.610, 95% CI: 0.413–0.901), respectively. Multivariate analysis revealed that delayed endoscopy was a significant factor for lower re-bleeding rate (HR: 0.576, 95% CI: 0.387–0.859), which was prominent in the low-risk group (HR: 0.417, 95% CI: 0.225–0.774). Multivariate analysis showed that when compared with the low-risk group, in-hospital comorbidity aggravation was more common in high-risk patients who underwent non-urgent endoscopy (HR: 2.957, 95% CI: 1.045–6.454). Conclusions: In low-risk patients, delayed endoscopy is sufficient for NVUGIB management. In high-risk patients, urgent endoscopy reduced comorbidity aggravation during hospital care.
목차
등록된 정보가 없습니다.
참고문헌 (0)
참고문헌 신청함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Optimal Dose of Edoxaban for Very Elderly Atrial Fibrillation Patients at High Risk of Bleeding: The LEDIOS Registry
Korean Circulation Journal
2024 .07
-
비정맥류성 상부위장관 출혈 환자의 위험도 평가 방법
Korean Journal of Helicobacter Upper Gastrointestinal Research
2016 .01
-
상부위장관 출혈로 내원한 정상 혈압 환자에서 활동성 출혈을 예측하기 위한 Glasgow Blatchford score, Pre-Rockall score, AIMS65 score의 유용성 검정 및 새로운 예측인자 개발을 위한 제언
대한응급의학회지
2019 .01
-
The AIMS65 Score Is a Useful Predictor of Mortality in Patients with Nonvariceal Upper Gastrointestinal Bleeding: Urgent Endoscopy in Patients with High AIMS65 Scores
Clinical Endoscopy
2015 .01
-
Endoscopy Timing in Patients with Acute Upper Gastrointestinal Bleeding
Clinical Endoscopy
2019 .01
-
Comparison of AIMS65 Score and Other Scoring Systems for Predicting Clinical Outcomes in Koreans with Nonvariceal Upper Gastrointestinal Bleeding
Gut and Liver
2016 .01
-
출혈시간 검사에 대한 임상적 유용성: 체계적 문헌고찰
보건의료기술평가
2022 .12
-
비정맥류 상부위장관 출혈의 내시경 치료
Korean Journal of Helicobacter Upper Gastrointestinal Research
2016 .01
-
Is the Modified AIMS65 Score Suitable for Distinguishing the Low Risk Group and the High Risk Group for Patients with Upper Gastrointestinal Bleeding?
대한응급의학회지
2017 .01
-
비종양성 상부위장관 응급상황의 내시경적 관리
Korean Journal of Helicobacter Upper Gastrointestinal Research
2024 .03
-
Second-Look Endoscopy after Gastric Endoscopic Submucosal Dissection for Reducing Delayed Postoperative Bleeding
Gut and Liver
2015 .01
-
Efficacy of Multidisciplinary Clinical Pathway for the Management of Postpartum Hemorrhage
Perinatology
2019 .01
-
Prospective Comparison of the AIMS65 Score, Glasgow-Blatchford Score, and Rockall Score for Predicting Clinical Outcomes in Patients with Variceal and Nonvariceal Upper Gastrointestinal Bleeding
Clinical Endoscopy
2021 .01
-
Could a bleeding-sensor device be established as a new paradigm for detecting upper gastrointestinal bleeding before performing endoscopy?
Clinical Endoscopy
2024 .03
-
상부위장관 출혈로 내원한 취약계층 환자에서 내시경 치료의 필요성을 예측하기 위한 도구로서의 Glasgow Blatchford Score, Pre-Rockall Score의 유용성
대한응급의학회지
2021 .01
-
When Should We Perform Endoscopy for Patients with Upper Gastrointestinal Bleeding?
Clinical Endoscopy
2019 .01
-
A practical approach for small bowel bleeding
Clinical Endoscopy
2023 .05
-
상부위장관 출혈 환자에서 위험의 계층화와 이에 따른 치료 전략
Korean Journal of Helicobacter Upper Gastrointestinal Research
2018 .01
-
Mortality Risk Scoring System in Patients after Bleeding from Cancers in the Upper Gastrointestinal Tract
Gut and Liver
2024 .03
-
Frequency and risk factors of severe postoperative bleeding after proctological surgery: a retrospective case-control study
Annals of Coloproctology
2022 .10
이 논문의 저자 정보
최근 본 자료
댓글(0)
0