SO SÁNH GIÁ TRỊ MỘT SỐ THANG ĐIỂM TRONG TIÊN LƯỢNG CHẢY MÁU TIÊU HÓA TRÊN KHÔNG DO TĂNG ÁP LỰC TĨNH MẠCH CỬA Ở BỆNH NHÂN CAO TUỔI

Abstract

Objectives: To compare the predictive value of the Glasgow-Blatchford score (GBS), clinical Rockall scoring (CRS), and AIMS65 scoring systems in elderly patients with non-variceal upper gastrointestinal bleeding (UGIB). Methods: A prospective, descriptive, cohort study was conducted on 192 patients aged ≥ 60 years admitted for non-variceal UGIB at Military Hospitals 103 and Military Hospital 354 between May 2024 and May 2025. The GBS, CRS, and AIMS65 scores were applied to assess the prognostic value for transfusion requirement, rebleeding, and mortality using ROC curve analysis. Results: The mean age of patients was 72.7 ± 8.3 years, with 69.3% being male. The GBS showed the highest predictive value for blood transfusion requirement (AUC 0.829), significantly superior to CRS (0.695) and AIMS65 (0.661) (p < 0.0001). All three scoring systems demonstrated high predictive performance for rebleeding (AUC 0.837, 0.815, and 0.925, respectively) and mortality (AUC 0.901, 0.896, and 0.945, respectively), with no statistically significant differences. Conclusion: The GBS provides superior prediction of transfusion requirements, whereas all three scoring systems have comparable predictive value for rebleeding and mortality in elderly patients with non-variceal UGIB.