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Upper gastrointestinal (UGI) bleeding is associated with substantial mortality (in as many as 14% of patients). In this multicenter prospective study, researchers compared scoring systems for their ability to predict clinical outcomes of UGI bleeding, including survival. They examined three pre-endoscopy scores (“admission” Rockall, Glasgow-Blatchford, and AIMS65) and two post-endoscopy scores (“full” Rockall and PNED).
Participants were 3000 people (median age, 65) who presented with UGI bleeding at six hospitals in Europe, North America, Asia, and Oceania during 12 months; 45% required a hospital-based intervention or died within 30 days. The pre-endoscopy Glasgow-Blatchford score had the highest discriminative ability for predicting hospi…