Assessing the Risk for Treating Upper GI Bleeding in Hospitalized Patients

The Glasgow-Blatchford score was superior to the Rockall score in predicting the need for transfusions or surgery in patients admitted for UGIB, but use of any risk stratification system is still of primary importance.

The Glasgow-Blatchford score (GBS) is commonly used to distinguish patients with upper gastrointestinal bleeding (UGIB) who are at low versus high risk for rebleeding or death from endoscopy. The Rockall score (RS) has been widely used both before and after endoscopy to stratify patients according to their risk for mortality. Now, researchers in Australia have compared the performances of these tools in predicting the need for interventions and clinical outcomes in 708 patients hospitalized for UGIB who underwent urgent endoscopy.

Compared with post-endoscopy RS and GBS, pre-endoscopy RS was less effective in predicting the need for endoscopic therapy (area under the curve, 0.76 and 0.76 vs. 0.66, respectively). Compared with the full RS and…

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

Assessing the Risk for Treating Upper GI Bleeding in Hospitalized Patients

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Reviewing Author