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Multiple scoring systems are available to assess the severity and prognosis of upper gastrointestinal (GI) bleeding in adults, but studies addressing prognostic indicators for GI bleeding events in pediatric populations are lacking.
Investigators in a single pediatric hospital in Turkey prospectively observed patients aged newborn to 18 years presenting to the emergency department with hematemesis, hematochezia, or melena during a 1-year period. They compared clinical and laboratory findings at presentation between patients who were ultimately determined to have a significant bleeding event (defined as the need for emergency endoscopy, colonoscopy, blood transfusion, or admission) and patients who were not.
Among 81 patients, 22 (27%) had sig…