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All patients who present with acute upper gastrointestinal bleeding (AUGIB) should have their risk for adverse outcomes assessed and, then, be directed to the safest, most efficient therapeutic pathway. Studies comparing how well different scoring systems predict clinical outcomes in AUGIB vary in findings, depending upon the cutoff score and specific outcome measure used.
Investigators in Turkey prospectively followed 202 patients with AUGIB. They calculated a Glasgow-Blatchford score (GBS), a pre-endoscopic Rockall (PER) score, and a modified early warning score (MEWS) for each patient. Emergency department staff and endoscopists were unaware that the study was being conducted. Each scoring system was assessed for its ability to predict cl…