External Validation of the SHA2PE Score and Its Comparison to the Oakland Score for the Prediction of Safe Discharge in Patients With Lower Gastrointestinal Bleeding
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 398
- 试验地点
- 1
- 主要终点
- Validation of SHA2PE score in our cohort
研究概览
简要总结
The increasing incidence in lower gastrointestinal bleeding (LGIB) leads to a rise in hospital admission. Many LGBI are self-limiting thus the several scores to identify low risk patients suited to outpatient care have been described. We aim to compare two of this scores (Oakland score and SHA2PE score) in terms of performace to predict "safe discharge" from the emergency department.
详细描述
The growing incidence of lower gastrointestinal bleeding (LGIB) is leading to a rise in hospital admissions even though most LGIB episodes are self-limiting. The Oakland and SHA2PE scores were designed to identify patients best suited to outpatient care. Our aim is to validate the SHA2PE score and compare both of these scores in terms of predictiveness of safe discharge.
We conducted a retrospective observational study of LGIB patients admitted to our hospital between June 2014-June 2019. During this period, data from all LGIB episodes admitted from the ED were collected in an electronic anonymized database created specifically for this study. If any of the principal variables or critical information was missing, the patient was excluded from the study.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All > 18 year old patients, male and women, admitted to our hospital between June 2014 and June 2019 because of LGIB (lower gastrointestinal bleeding).
排除标准
- •Patients in whom LGIB occurred while already admitted for an other cause.
- •Patients with LGIB transferred from another hospital due to comorbidities or severity of the gastrointestinal bleeding episode.
- •Patients with post-polypectomy LGIB (endoscopic polypectomy <14 days before admission).
- •Patients with gastrointestinal bleeding of unknown origin after a complete study.
- •Patients who had undergone digestive tract surgery in the previous month.
- •Patients with an ostomy.
- •Patients with known colorectal cancer who had not undergone surgery.
结局指标
主要结局
Validation of SHA2PE score in our cohort
时间窗: After 1 month of follow-up from the hospital discharge
We aim to validate this score in a southern Europe cohort and compare it to the Oakland score
Safe Discharge
时间窗: After 1 month of follow-up from the hospital discharge
Patients with lower gastrointestinal bleeding and absence of all the following: rebleeding, re-consulting for LGIB within 28 days after discharge, in-hospital mortality, requirement of red blood cell transfusion or endoscopic, radiological, or surgical haemostatic treatment.
次要结局
- Performance of SHA2PE score in safe discharge(After 1 month of follow-up from the hospital discharge)
- Performance of Oakland score in safe discharge(After 1 month of follow-up from the hospital discharge)
研究者
Laura Gonzalez
Laura González González
Germans Trias i Pujol Hospital