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Date Published: 04/11/2025
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DOI: https://doi.org/10.51298/vmj.v555i2.16052
Issue
Vol. 555 No. 2 (2025)
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Các bài báo
How to Cite
Trần, X. K., & Nguyễn, C. L. (2025). VALIDATON OF SHA2PE SCORE FOR PREDICTNG ADVERSE OUTCOMES OF LOWER GASTROINTESTNAL BLEEDING. Vietnam Medical Journal, 555(2). https://doi.org/10.51298/vmj.v555i2.16052

VALIDATON OF SHA2PE SCORE FOR PREDICTNG ADVERSE OUTCOMES OF LOWER GASTROINTESTNAL BLEEDING

Xuân Khuyến Trần, Công Long Nguyễn

Main Article Content

Abstract

Objective: To assess the predictive value of the SHA2PE score for clinical outcomes in patients with lower gastrointestinal bleeding (LGIB) treated at the Digestive & Hepatobiliary Center, Bach Mai Hospital. Methods: A retrospective, cross-sectional descriptive study was performed on 110 inpatients with confirmed LGIB managed at the Digestive & Hepatobiliary Center, Bach Mai Hospital, from August 2024 to September 2025. Results: The mean age was 59.0 ± 16.8 years; 57.3% were male. With a cut-off score ≥ 3, SHA2PE yielded an AUC of 0.67 (95%CI=0.55–0.76) for predicting transfusion requirement (sensitivity 53.8%, specificity 71.8%), an AUC of 0.79 (95%CI=0.68–0.89) for predicting surgical intervention (sensitivity 87.5%, specificity 66.7%), and an AUC of 0.52 (p=0.63) for predicting endoscopic therapy. SHA2PE showed good discriminatory power for surgical need, acceptable accuracy for transfusion requirement, and no predictive value for endoscopic intervention. Conclusion: The SHA2PE score is a useful screening tool for identifying high-risk LGIB patients, particularly for early detection of severe cases requiring surgery, thereby helping to optimize clinical management.

Article Details

Keywords

Lower gastrointestinal bleeding; SHA2PE score

References

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