RT Journal Article
T1 MAP(ASH): A new scoring system for the prediction of intervention and mortality in upper gastrointestinal bleeding.
A1 Redondo-Cerezo, Eduardo
A1 Vadillo-Calles, Francisco
A1 Stanley, Adrian J
A1 Laursen, Stig
A1 Laine, Loren
A1 Dalton, Harry R
A1 Ngu, Jing H
A1 Schultz, Michael
A1 Jiménez-Rosales, Rita
K1 AIMS65
K1 Admission Rockall score
K1 Glasgow Blatchford score
K1 MAP(ASH) score
K1 Upper gastrointestinal bleeding
AB Risk stratification for upper gastrointestinal bleeding (UGIB) is recommended. However, scoring system accuracy is suboptimal, and score calculation can be complex. Our aim was to develop a new score, the MAP(ASH) score, with information available in the emergency room and to validate it. The score was built from a prospective database of patients with UGIB and validated in an international database of 3012 patients from six hospitals. Outcomes were 30-day mortality, endoscopic intervention, any intervention (red blood transfusion, endoscopic treatment, interventional radiology, surgery, or death), and rebleeding. Accuracy to predict outcomes was assessed by the area under the receiver operating characteristic curve (AUROC). Five hundred forty-seven patients were included in the development cohort. Impaired mental status, albumin  100, American Society of Anesthesiologists score > 2, systolic blood pressure  2, systolic blood pressure  MAP(ASH) is a simple pre-endoscopy risk score to predict intervention after UGIB, with fair discrimination at predicting mortality. Because of its applicability, it could be an option in clinical practice.
YR 2019
FD 2019-08-19
LK http://hdl.handle.net/10668/14336
UL http://hdl.handle.net/10668/14336
LA en
DS RISalud
RD Apr 7, 2025