A New Pre-Endoscopy Predictive Score for Upper GI Bleeding

The CANUKA pre-endoscopy risk score performed similarly to the Glasgow-Blatchford score in predicting outcomes of GI bleeding.

Although there are many scores for assessing risk for adverse outcomes in patients with upper gastrointestinal (GI) bleeding, in practice clinicians rarely utilize these scores. Although adoption of scores is recommended by guidelines, barriers to their use include difficulty calculating and perceived lack of clinical usefulness. The Glasgow-Blatchford score (GBS) is the most widely used risk score but is not entirely accurate at predicting high- or low-risk outcomes. A more accurate scoring system would be beneficial.

Using data from almost 13,000 patients treated for upper GI bleeding in Canada, Australia, and the United Kingdom, researchers developed and validated a new pre-endoscopic prognostic score called the CANUKA score.

The CANUKA sc…

Reviewing Author

John R. Saltzman, MD

Disclosures

Consultant/Advisory BoardIterative Scopes

Editorial BoardsGastrointestinal Endoscopy; UpToDate

Leadership Positions in Professional SocietiesAmerican College of Gastroenterology (Trustee)

OtherVice President of Medical Affairs, 1Globe Health Institute