ICU sedation, delirium & recovery
Prediction of esophagogastroduodenoscopy therapeutic usefulness for in-ICU suspected upper gastrointestinal bleeding: the SUGIBI score study
Authors' conclusion
Our study shows that the therapeutic usefulness of bedside emergency EGD for SUGIB in critically ill patients is limited to a minority of patients.
Study context
- Population
- ICU patients not primarily admitted for GI bleeding who underwent bedside esophagogastroduodenoscopy (EGD) for suspected upper GI bleeding (suspected upper gastrointestinal bleeding (SUGIB))derivation cohort
- Participants
- 255 participants
- Outcome
- Need for hemostatic endotherapy during EGD (SUGIBI score prediction)
Methodological detailsscore derivation and validation, multicentre validation cohort
- Score derivation and validation
- Multicentre validation cohort
Main finding
As reported in the abstract
Prediction of need for hemostatic endotherapy during EGD (derivation cohort)
| Group | NPV (score < 4) | AUC |
|---|---|---|
| SUGIBI score | 95% (91-99) | 0.81; 0.75-0.91 (p < 0.0001) |
SUGIBI score
NPV (score < 4)95% (91-99)
AUC0.81; 0.75-0.91 (p < 0.0001)
Observational data: associations, not effects.
Further findings
- Indication: anemia
- 79%
- Indication: melena
- 19%
- Indication: shock
- 14%
- Indication: hematemesis
- 13%
- Normal EGD
- 24.7%
- Ulcers
- 23.1%
- Esophagitis
- 18.8%
- Gastritis
- 12.5%
Original publication
Prediction of esophagogastroduodenoscopy therapeutic usefulness for in-ICU suspected upper gastrointestinal bleeding: the SUGIBI score study. Ann Intensive Care. Published 15 February 2024. doi:10.
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