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)
Share This Post
Categories
Related Posts
Do you have a stack of journals piling up on your desk, beside your bed or in your email inbox? In 1950, medical knowledge was estimated to double every 50 years, but now the doubling time is every few months. At this rate, it is impossible to keep up with the literature, but a group […]
This large systematic review found rectal NSAIDs significantly reduced the risk of post-ERCP pancreatitis compared to pancreatic duct stents (abstract).
This large population-based cohort found the most common causes of drug induced liver injury to be augmentin and diclofenac, followed by herbal and nutritional supplements (abstract).
Leave A Comment