A New Score Predicts Low-Risk GI Bleeding

The SHA₂PE score accurately identified patients who did not require intervention.

Multiple risk scores exist to predict outcomes in upper gastrointestinal (GI) bleeding, and one (the Glasgow-Blatchford score) has been shown to predict low-risk patients who may be managed on an outpatient basis. However, there are relatively few risk scores for lower GI bleeding (LGIB), and most have focused on identifying high-risk patients who may need an intervention such as blood product transfusion or endoscopic/radiologic/surgical therapy. Now, researchers from Iceland have derived and validated a score to predict low-risk patients with LGIB.

In a retrospective study of 580 patients with LGIB, a multiple logistic model was developed including the following predictors of low risk: systolic pressure ≥100 mm Hg, hemoglobin value >12 or …

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