Low risk score for UGI bleeds

By  |  December 17, 2008 | 

In this prospective validation of 676 patients presenting with an UGI bleed (hematemesis, coffee grounds, or melena), of the patients with a score of 0 on the Glasgow-Blatchford bleeding score (16%), none of them required an intervention (EGD, transfusion, or surgery) and none of them died. Unlike other scores, it is based only on clinical (not EGD) parameters. A score of 0 includes: BUN<18, Hb>13 (men) or >12 (women), SBP >110, pulse <100, and no history of melena, syncope, CHF, or liver disease. Those with a score of 0 likely do not need hospitalization or urgent EGD, and can be managed as an outpatient (abstract)

About the Author:

Danielle Scheurer
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.


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