This large single center cohort found several factors associated with the risk of non-ICU GI bleeding; researchers developed a scoring system to determine which patients were at highest risk of bleeding (and presumably would benefit from GI prophylaxis). The following factors were included (including their score): age >60 (2), male (2), acute renal failure, (2) liver disease (2), sepsis (2), VTE prophylaxis (2), coagulopathy (3), medical service (3). Those at highest risk (score 12+) had a GI bleed in 3.2% of those not on GI prophylaxis, and 1.1% of those on GI prophylaxis. This helps define those non-ICU hospitalized patients that would benefit from GI prophylaxis (abstract).
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January 12, 2013 |
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About the Author: Danielle Scheurer
Danielle Scheurer, MD, MSCR, SFHM is a clinical hospitalist and the Chief Quality Officer at the Medical University of South Carolina in Charleston, South Carolina, where she also serves as 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 is also the President of SHM's Board of Directors and previously served as Physician Editor of The Hospitalist, SHM's monthly newsmagazine.
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