The ABC score demonstrated good performance in predicting 30-day mortality for patients with upper gastrointestinal bleeding (AUROC 0.79), significantly outperforming the AIMS-65 and Rockall scores.
Cohort (n=310)
No
Does the ABC score predict 30-day mortality in adult patients with overt gastrointestinal bleeding?
The ABC score demonstrates good performance in predicting 30-day mortality for patients with upper and lower gastrointestinal bleeding, outperforming or matching established risk scores.
Absolute Event Rate: 0.79% vs 0.67%
p-value: p=<0.001
BACKGROUND/AIM: The ABC score is a new pre-endoscopic scoring system that was recently developed to accurately predict one-month mortality in upper and lower gastrointestinal bleeding (GIB). We aim to validate this new score on a cohort of Lebanese patients treated in a tertiary care center and to compare it to currently existing scores. METHODS: Adult patients admitted to the American University of Beirut Medical Center (AUBMC) with overt GIB between January 2013 and August 2020 were included. The area under receiver operating characteristic (AUROC) curves of the ABC score in predicting 30-day mortality was calculated using the SPSS software. Other optimal existing scores for predicting mortality (the Oakland score for lower GIB, the AIMS-65 and the Rockall scores for upper GIB)s were also assessed and compared to the ABC score. RESULTS: A total of 310 patients were included in our study. For upper GIB, the ABC score showed good performance in predicting 30-day mortality (AUROC: 0.79), outperforming both the AIMS-65 score (AUROC 0.67, p < 0.001) and the Rockall score (AUROC: 0.62, p < 0.001). For lower GIB, the ABC score also had good performance which was comparable to the Oakland score (AUROC: 0.70 vs 0.56, p = 0.26). CONCLUSION: In our cohort of patients, the ABC score demonstrated good performance in predicting 30-day mortality for patients with upper and lower GIB compared to other established risk scores, which may help guide management decisions. This simple and novel score provides valuable prognostic information for patients presenting with GIB and appears to be reproducible in different patient populations.
Saadé et al. (2022) conducted a cohort in Gastrointestinal bleeding (n=310). ABC score vs. AIMS-65 and Rockall scores (for UGIB); Oakland score (for LGIB) was evaluated on 30-day mortality prediction in upper gastrointestinal bleeding (AUROC) (p=<0.001). The ABC score demonstrated good performance in predicting 30-day mortality for patients with upper gastrointestinal bleeding (AUROC 0.79), significantly outperforming the AIMS-65 and Rockall scores.