About this trial
This study aims to develop a non-invasive and rapid diagnostic technology for acute upper gastrointestinal bleeding (AUGIB) by analyzing volatile organic compounds (VOCs) in exhaled breath. Clinically confirmed patients will be divided into three groups (no bleeding, minor bleeding, major bleeding) based on endoscopic findings. VOC profiles will be analyzed to construct a predictive model, validated for sensitivity and specificity (both targets ≥0.7). This approach addresses the limitations of endoscopy in emergency or resource-limited settings, improving diagnostic efficiency and reducing mortality.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥18 years;
Clinical suspicion of AUGIB (e.g., hematemesis, melena);
Fasting ≥4 hours;
Signed informed consent.
Disqualifiers
Severe pulmonary dysfunction or recent lung infection (within 1 week);
Cardiac/renal failure or disseminated intravascular coagulation;
Contraindications to endoscopy;
High-risk conditions (e.g., massive ascites);
Trial population
Patients requiring endoscopy for suspected AUGIB
Trial design
Case-control
Prospective
Treatments tested in this trial
Gastroscopy
DeviceGastroscopy for all included patients
Gas Chromatography - Mass Spectrometry
Diagnostic testUsing a patient's exhaled breath test with Gas Chromatography - Mass Spectrometry
Treatment groups
Trial outcomes
Primary outcomes
Sensitivity and specificity of the diagnostic model
targets ≥0.7
Secondary outcomes
Identification of key VOCs
e.g., aldehydes, ketones
Differences in VOC concentrations across 3 bleeding severity groups
Different VOCs
Locations
Sponsors and contacts
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