Upper gastrointestinal bleeding risk scores: Who, when and why?

World Journal of Gastrointestinal Pathophysiology
Sara MonteiroJosé Cotter

Abstract

Upper gastrointestinal bleeding (UGIB) remains a significant cause of hospital admission. In order to stratify patients according to the risk of the complications, such as rebleeding or death, and to predict the need of clinical intervention, several risk scores have been proposed and their use consistently recommended by international guidelines. The use of risk scoring systems in early assessment of patients suffering from UGIB may be useful to distinguish high-risks patients, who may need clinical intervention and hospitalization, from low risk patients with a lower chance of developing complications, in which management as outpatients can be considered. Although several scores have been published and validated for predicting different outcomes, the most frequently cited ones are the Rockall score and the Glasgow Blatchford score (GBS). While Rockall score, which incorporates clinical and endoscopic variables, has been validated to predict mortality, the GBS, which is based on clinical and laboratorial parameters, has been studied to predict the need of clinical intervention. Despite the advantages previously reported, their use in clinical decisions is still limited. This review describes the different risk scores used in t...Continue Reading

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Citations

Jan 23, 2017·Gastroenterología y hepatología·Pilar García-IglesiasRafel Campo Fernández de Los Ríos
Mar 5, 2019·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Gyanranjan Rout Shalimar
Mar 28, 2020·United European Gastroenterology Journal
Jul 31, 2020·International Journal of Emergency Medicine·Shinya KitaSyunsuke Ito
Dec 14, 2019·World Journal of Gastroenterology : WJG·Xin-Xing TantaiJin-Hai Wang
Jan 12, 2021·Digestive Diseases and Sciences·Amandeep SinghJohn Vargo
Feb 12, 2021·Internal and Emergency Medicine·Elettra MerolaGiovanni de Pretis
Aug 10, 2021·World Journal of Hepatology·Nikolaus PfistererThomas Reiberger
Oct 16, 2021·Internal and Emergency Medicine·Dilay SatılmışBaşar Cander
Aug 14, 2021·GE Portuguese Journal of Gastroenterology·Susana MaiaIsabel Pedroto

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