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Scoring systems based on clinical characteristics of patients with upper gastrointestinal bleeding (UGIB) pre- and postendoscopy can predict mortality and rebleeding, allowing for more-efficient use of resources through risk stratification. Now, researchers have developed a simple scoring system for clinicians to use when patients present with acute UGIB in emergency departments (EDs).
Using a large clinical database, investigators retrospectively identified risk factors associated with mortality among 29,222 patients admitted with UGIB through the EDs of 187 hospitals. They then retrospectively validated the results through a different cohort of 32,504 patients. Using recursive partitioning, investigators identified clinical characteristics…