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A Review of Risk Scores within Upper Gastrointestinal Bleeding.
| Content Provider | Europe PMC |
|---|---|
| Author | Orpen-Palmer, Josh Stanley, Adrian J. |
| Editor | Aseni, Paolo |
| Copyright Year | 2023 |
| Abstract | Upper gastrointestinal bleeding is a common medical emergency. Thorough initial assessment and appropriate resuscitation are essential to stabilise the patient. Risk scores provide an important tool to discriminate between lower- and higher-risk patients. Very low-risk patients can be safely discharged for out-patient management, while higher-risk patients can receive appropriate in-patient care. The Glasgow Blatchford Score, with a score of 0-1, performs best in the identification of very low-risk patients who will not require hospital based intervention or die, and is recommended by most guidelines to facilitate safe out-patient management. The performance of risk scores in the identification of specific adverse events to define high-risk patients is less accurate, with no individual score performing consistently well. Ongoing developments in the use of machine learning models and artificial intelligence in predicting poor outcomes in UGIB appear promising and will likely form the basis of dynamic risk assessment in the future. |
| Journal | Journal of Clinical Medicine [J Clin Med] |
| Volume Number | 12 |
| DOI | 10.3390/jcm12113678 |
| PubMed Central reference number | PMC10253886 |
| Issue Number | 11 |
| PubMed reference number | 37297873 |
| e-ISSN | 20770383 |
| Language | English |
| Publisher | Molecular Diversity Preservation International (MDPI) |
| Publisher Date | 2023-05-26 |
| Access Restriction | Open |
| Subject Keyword | acute gastrointestinal haemorrhage risk stratification risk scores non-variceal upper gastrointestinal bleeding variceal gastrointestinal bleeding peptic ulcer bleeding |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
