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Outcomes of nonvariceal upper gastrointestinal bleeding (UGIB) are adversely affected by vigorous blood transfusion (NEJM JW Gastroenterol Jun 2016/ and Transfusion 2015 Dec 31; [e-pub]). Conversely, the potential for adverse outcomes in patients discharged with low hemoglobin levels after hospitalization for UGIB, though unclear, is also a concern.
Investigators in Korea retrospectively identified 102 patients who underwent therapeutic endoscopy for UGIB and compared outcomes at 7 and 45 days after discharge between 50 patients with a low discharge hemoglobin level (8 ≤ Hgb < 10 g/dL) and 52 with a high level (Hgb ≥10 g/dL). Rockall and Glasgow-Blatchford scores were similar in the two groups.
The mean discharge hemoglobin levels in the low …