Albouys et al reported the Limoges Bleeding Score for predicting delayed bleeding after a colorectal endoscopic submucosal dissection. The authors are from Hopital Dupuytren in Limoges, France, affiliated hospitals and Universitario de Navarra in Spain.
Patient selection:
Parameters:
(1) age of the patient in years
(2) use of antithrombotics
(3) location
(4) diameter in mm
(5) ASA score
Parameter
Finding
Points
age in years
< 75 years
0
>= 75 years
1
antithrombotic therapy
no
0
yes
1
location
rectum
1
other colon
0
diameter
<= 50 mm
0
> 50 mm
3
ASA
I or II
0
III or IV
2
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score 8
Total Score
Risk Category
Delayed Bleeding
0 to 2
low
1.2%
3 to 5
average
5.2%
6 to 8
high
18.1%
Performance:
• The area under the ROC curve is 0.75.
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