Risk Stratification and Outpatient Care for Upper GI Bleeding

The Glasgow-Blatchford bleeding score can identify patients with upper gastrointestinal bleeding who can be treated on an outpatient basis.

Acute upper gastrointestinal bleeding (UGIB) is a frequent cause for hospitalization, but such bleeding does not recur in 80% of patients. Various scoring systems have been developed to identify patients with low risk for rebleeding so that they can be treated without hospitalization.

Investigators in the U.K. evaluated the Glasgow-Blatchford bleeding score (GBS) and compared its ability to identify UGIB patients who could be treated as outpatients with that of the Rockall scoring system. They prospectively collected data for both scoring systems on consecutive UGIB patients from four hospitals during a period of 3–12 months. They also prospectively applied the GBS to patients seen at two hospitals during a period of 3–12 months. Otherwise-h…

Reviewing Author

David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)

Disclosures

Nothing to disclose

David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)

Disclosures

Nothing to disclose