Safe discharge of patients with low-risk upper gastrointestinal bleeding (UGIB): Can the use of Glasgow-Blatchford Bleeding Score be extended?

Acute Medicine

Volumn 10, Issue 4, 2011, Pages 176-181

  Le Jeune, Iven Robert ^a   Gordon, A L ^b   Farrugia, D ^a   Manwani, R ^a   Guha, I N ^c   James, M W ^c  

^a NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST   (United Kingdom)

^b UNIVERSITY OF NOTTINGHAM   (United Kingdom)

^c NIHR NOTTINGHAM BIOMEDICAL RESEARCH CENTRE   (United Kingdom)

Author keywords

Clinical decision making; Health services research; Upper gastrointestinal bleeding

Indexed keywords

ADOLESCENT; ADULT; ADVERSE OUTCOME; ARTICLE; BLOOD TRANSFUSION; EMERGENCY CARE; EMERGENCY WARD; ENDOSCOPIC THERAPY; FEMALE; GLASGOW BLATCHFORD BLEEDING SCORE; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HUMAN; INTERVENTIONAL RADIOLOGY; MAJOR CLINICAL STUDY; MALE; MEDICAL HISTORY; MORTALITY; OBSERVATIONAL STUDY; PATIENT SAFETY; PRE ROCKALL SCORE; PROSPECTIVE STUDY; SCORING SYSTEM; SENSITIVITY AND SPECIFICITY; UPPER GASTROINTESTINAL BLEEDING; VITAL SIGN;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; DECISION MAKING; EMERGENCY SERVICE, HOSPITAL; FEMALE; FOLLOW-UP STUDIES; GASTROINTESTINAL HEMORRHAGE; HUMANS; MALE; MIDDLE AGED; PATIENT DISCHARGE; PROGNOSIS; RETROSPECTIVE STUDIES; RISK ASSESSMENT; SEVERITY OF ILLNESS INDEX; TIME FACTORS; YOUNG ADULT;

EID: 82855181959     PISSN: 17474884     EISSN: 17474892     Source Type: Journal    
DOI: None     Document Type: Article

References (14)

1. Barkun AN, Bardou M, Kuipers EJ, et al. International consensus recommendations on the management of patients with non-variceal upper gastrointestinal bleeding. Ann Intern Med. 2010; 152(2): 101-13.
2. Marmo R, Koch M, Cipolletta L, et al. Predicting mortality in non-variceal upper gastrointestinal bleeders: validation of the Italian PNED Score and Prospective Comparison with the Rockall Score. Am J Gastroenterol. 2010; 105(6): 1284-91.
3. Van Leerdam ME, Vreeburg EM, Rauws EA, et al. Acute upper GI bleeding: did anything change? Time trend analysis of incidence and outcome of acute upper GI bleeding between 1993/1994 and 2000. Am J Gastroenterol. 2003; 98(7): 1494-9. (Pubitemid 36875338)
4. Gleeson F, Clarke E, Lennon J, et al. Outcome of accident and emergency room triaged patients with low risk non-variceal upper gastrointestinal haemorrhage. Ir Med J. 2006; 99(4): 114-7.
5. Wallis JP, Wells AW, Chapman CE. Changing indications for red cell transfusion from 2000 to 2004 in the North of England. Transfus. Med. 2006; 16(6): 411-7. (Pubitemid 44813851)
6. Rockall TA, Logan RF, Devlin HB, et al. Incidence of and mortality from acute upper gastrointestinal haemorrhage in the United Kingdom. Steering Committee and members of the National Audit of Acute Upper Gastrointestinal Haemorrhage. BMJ 1995; 311(6999): 222-6.
7. Rockall TA, Logan RF, Devlin HB, et al. Risk assessment after acute upper gastrointestinal haemorrhage. Gut 1996; 38(3): 316-21. (Pubitemid 26074312)
8. Rockall TA, Logan RF, Devlin HB, et al. Selection of patients for early discharge or outpatient care after acute upper gastrointestinal haemorrhage. National Audit of Acute Upper Gastrointestinal Haemorrhage. Lancet 1996; 347(9009): 1138-40. (Pubitemid 126512041)
9. Dalton D, Grant-Casey J, Hearnshaw SA, et al. The UK comparative Audit of Gastrointestinal Bleeding and the use of blood; British Society of Gastroenterology 2007. Available for download at: http://www.bsg.org.uk/pdf- word-docs/blood-audit-report-07.pdf
10. Scottish Intercollegiate Guideline Network. Management of acute upper and lower gastrointestinal bleeding. A National Clinical Guideline September 2008 (Guideline 105).
11. Barkun AN, Bardou M, Kuipers EJ, et al. International consensus recommendations on the management of patients with non-variceal upper gastrointestinal bleeding. Ann Intern Med. 2010; 152(2): 101-13.
12. Blatchford O, Murray WR, Blatchford M. A risk score to predict need for treatment for upper-gastrointestinal haemorrhage. Lancet 2000; 356(9238): 1318-21.
13. Stanley AJ, Ashley D, Dalton HR, et al. Outpatient management of patients with low-risk upper-gastrointestinal haemorrhage: multicentre validation and prospective evaluation. Lancet 2009; 373(9657): 42-7.
14. Chan JCH, Ayaru L. Analysis of risk scoring for the out-patient management of acute upper gastrointestinal bleeding. Frontline Gastroenterology 2011; 2: 19-25.