Value of 4 international guidelines for predicting adverse events in Chinese elderly patients during gastrointestinal endoscopic perioperation
Abstract：Objective To study the value of British Society of Gastrointerology (BSG),American Society of Gastrointestinal Endoscopy (ASGE),European Society of Gastrointestinal Endoscopy (ESGE) and Japan Gastroenterological Endoscopy Society (JGES) guidelines for predicting adverse events in elderly Chinese patients during gastrointestinal endoscopic perioperation.Methods A total of 3747 patients undergoing gastrointestinal endoscopy were included in this study.The value of BSG,ASGE,ESGE and JGES guidelines for predicting thromboembolism and bleeding in elderly Chinese patients during gastrointestinal endoscopic perioperation was assessed by ROC curve.Results The area under the ROC curve (AUC) for JGES,ASGE+ BSG+ ESGE and for JGES,ASGE+ BSG for predicting thromboembolism and bleeding was 0.605 and 0.591,0.590and 0.591 (95％CI:0.535-0.675,P=0.001;95％CI:0.521-0.660,P=0.004;95％CI:0.522-0.658,P=0.005;95％CI:0.515-0.651,P=0.009).The AUC for JGES,ASGE+BSG+ESGE for predicting acute coronary syndrome was 0.619 and 0.606 (95％CI:0.538-0.700,P=0.001;95％CI..0.525-0.687,P=0.004).The AUC for JGES for predicting the major and minor bleeding events was 0.606 and 0.636 (95 ％ CI.:0.541-0.671,P=0.002;95％CI:0.568-0.703,P=0.001).Conclusion The value of 4 international guidelines is poor for predicting thromboembolism in Chinese elderly people during gastrointestinal endoscopic perioperation.
Keywords：endoscopydigestive systemintraoperative periodthromboembolismhemorrhageanticoagulantsROC curve
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 837-842 )