Full
Outline
To analyze the current status of perceived risk of recurrence among patients with first-time upper gastrointestinal bleeding due to liver cirrhosis and to explore the impact of risk perception on bleeding recurrence within one year.
Patients hospitalized at a tertiary hospital from December 2023 to April 2024 with first-time upper gastrointestinal bleeding due to liver cirrhosis were enrolled. Baseline data and scores from the Perceived Risk of Recurrence Scale were collected. Logistic regression analyzed the effect of perceived risk levels on 1-year recurrence. ROC curves assessed the predictive value of risk perception for 1-year recurrence, and decision curve analysis evaluated its practical utility.
A total of 221 patients was enrolled, with 47 experiencing rebleeding during one-year follow-up. The risk perception score was 72.0 (65.0, 90.5). Logistic regression indicated that, after adjusting for confounding factors, risk perception was an independent protective factor against rebleeding. The AUC for predicting one-year rebleeding using risk perception was 0.847 (95% CI:0.779-0.915). The net benefit ratio for predicting 1-year bleeding recurrence risk was 0.03-0.80.
Patients with cirrhosis experiencing their first upper gastrointestinal bleeding event exhibit a low to moderate perception of recurrence risk, and this risk perception is significantly associated with bleeding recurrence.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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