Comparing Risk-Scoring Systems for Upper GI Bleeding in the Emergency Department

Not surprisingly, ED-based risk scoring identifies few low-risk patients; we need additional studies in practice settings.

Emergency departments (EDs) vary in how they follow guideline recommendations to individualize treatment of upper gastrointestinal bleeding (UGIB). Researchers in Canada conducted a meta-analysis of 16 ED-based studies to assess how well pre-endoscopic risk scores predict serious adverse events 30 days after the UGIB event.

For the Glasgow Blatchford score (GBS), a cutoff score of zero had a sensitivity of 99% and a specificity of 8%; a GBS cutoff score of 2 had 98% sensitivity and 36% specificity (modifications of the GBS were not remarkably different). The clinical Rockall score (cRS) without endoscopy had 93% sensitivity and 19% specificity for a cutoff score of zero and 95% sensitivity and 38% specificity for a cutoff score of 2. The AIM…

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

Comparing Risk-Scoring Systems for Upper GI Bleeding in the Emergency Department

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Reviewing Author