Asia Pacific Journal Paediatric and Child Health, Volume 3, Jan - Mar 2020
The Role of Sheffield Score as a Predictor of Endoscopy Requirement in Children with Gastrointestinal Bleeding in Dr. Moewardi General Hospital
Dian Novita Sari1, Bambang Soebagyo1, Hari Wahyu Nugroho1
Abstract
Background: Gastrointestinal bleeding cases were increasing. In the last decade, endoscopy is discussed as the gold standard of diagnostic and therapeutic tool for gastrointestinal bleeding. Endoscopy examination in children is an invasive procedure, requires anesthesia, lack of experts, and lack of available equipment in several health facilities in Indonesia, especially in remote areas.
Objective: A guide and assessment system of Sheffield score was conducted to determine whether endoscopy was required during emergency.
Methods: Cross sectional design was used in this study, which was conducted in Melati 2 children ward on children aged 1-18 years old with clinical presentation of upper gastrointestinal bleeding in Dr. Moewardi Surakarta General Hospital from October 2018-March 2019.
Results: Endoscopy examination with Sheffield score system sample on cutoff 8 achieved 90.0% sensitivity, 90.0% specificity, 81.8% PPV, 94.7% NPV, 9 PLR, and 0.111 NLR. The result of chi square was p = 0.000, in which there was significant correlation between Sheffield score system with endoscopy. Thus, Sheffield score system appears to be a good predictor of endoscopy requirement.
Conclusion: The Sheffield score system could be used as a predictor of endoscopy requirement in pediatric gastrointestinal bleeding cases, which was statistically significant (p < 0.001) with 90.0% sensitivity, 90.0% specificity, 81.8% positive predictive value, 94.7% negative predictive value, 9.000 positive likelihood ratio, and 0.111 negative likelihood ratio.
Keywords: Sheffield, endoscopy, child, gastrointestinal bleeding, score.
1- Departement of Child Health, Medical Faculty of SebelasMaret University PediatricGastroenterology Subdivision, Departement of Child Health, Medical Faculty of SebelasMaret University, Surakarta.
Dian Novita Sari, Email: 2160473@gmail.com