W1910 3-Year Retrospective Study and 1-Year Prospective Evaluation of a Clinical Guideline Recommending Early Discharge in Selected Patients with Low-Risk Non-Variceal Upper Gastrointestinal Bleeding (UGIB)

2008 ◽  
Vol 134 (4) ◽  
pp. A-732
Author(s):  
Maria Chaparro ◽  
Felipe de la Morena ◽  
Almudena Barbero ◽  
L. Martin Martín ◽  
Carlos Esteban ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Gastrointestinal Bleeding ◽  
Clinical Guideline ◽  
Upper Gastrointestinal Bleeding ◽  
Early Discharge ◽  
Low Risk ◽  
Prospective Evaluation ◽  
Upper Gastrointestinal

Efficacy and safety of an early discharge protocol in low-risk patients with upper gastrointestinal bleeding

1998 ◽  
Vol 105 (3) ◽  
pp. 176-181 ◽  
Author(s):  
Pablo Moreno ◽  
Eduardo Jaurrieta ◽  
Humberto Aranda ◽  
Juan Fabregat ◽  
Leandro Farran ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Early Discharge ◽  
Low Risk ◽  
Efficacy And Safety ◽  
Risk Patients ◽  
Discharge Protocol ◽  
Upper Gastrointestinal

Early discharge and outpatient care in low-risk nonvariceal upper gastrointestinal bleeding (UGH)

2000 ◽  
Vol 32 ◽  
pp. A61
Author(s):  
M.A. Blanco ◽  
G. Rotondano ◽  
R. Marmo ◽  
R. Piscopo ◽  
L. Cipolletta
Keyword(s):  
Gastrointestinal Bleeding ◽  
Outpatient Care ◽  
Upper Gastrointestinal Bleeding ◽  
Early Discharge ◽  
Low Risk ◽  
Upper Gastrointestinal

scholarly journals Sa101 INCREASING THE LOW-RISK THRESHOLD FOR PATIENTS WITH UPPER GASTROINTESTINAL BLEEDING DURING THE COVID-19 PANDEMIC: A PROSPECTIVE, MULTICENTRE, FEASIBILITY STUDY

2021 ◽  
Vol 160 (6) ◽  
pp. S-421
Author(s):  
Philip Dunne ◽  
Victoria Livie ◽  
Aaron P. McGowan ◽  
Wilson W. Siu ◽  
Sardar Chaudhary ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Feasibility Study ◽  
Upper Gastrointestinal Bleeding ◽  
Low Risk ◽  
Risk Threshold ◽  
Upper Gastrointestinal

scholarly journals Semiautomated Glasgow-Blatchford Bleeding Score helps direct bed placement for patients with upper gastrointestinal bleeding

2020 ◽  
Vol 7 (1) ◽  
pp. e000479
Author(s):  
Drew B Schembre ◽  
Robson E Ely ◽  
Janice M Connolly ◽  
Kunjali T Padhya ◽  
Rohit Sharda ◽  
...  
Keyword(s):  
Intensive Care ◽  
High Risk ◽  
Length Of Stay ◽  
Gastrointestinal Bleeding ◽  
Transfusion Requirement ◽  
Upper Gastrointestinal Bleeding ◽  
Low Risk ◽  
Risk Patients ◽  
Bleeding Score ◽  
Upper Gastrointestinal

ObjectiveThe Glasgow-Blatchford Bleeding Score (GBS) was designed to identify patients with upper gastrointestinal bleeding (UGIB) who do not require hospitalisation. It may also help stratify patients unlikely to benefit from intensive care.DesignWe reviewed patients assigned a GBS in the emergency room (ER) via a semiautomated calculator. Patients with a score ≤7 (low risk) were directed to an unmonitored bed (UMB), while those with a score of ≥8 (high risk) were considered for MB placement. Conformity with guidelines and subsequent transfers to MB were reviewed, along with transfusion requirement, rebleeding, length of stay, need for intervention and death.ResultsOver 34 months, 1037 patients received a GBS in the ER. 745 had an UGIB. 235 (32%) of these patients had a GBS ≤7. 29 (12%) low-risk patients were admitted to MBs. Four low-risk patients admitted to UMB required transfer to MB within the first 48 hours. Low-risk patients admitted to UMBs were no more likely to die, rebleed, need transfusion or require more endoscopic, radiographic or surgical procedures than those admitted to MBs. No low-risk patient died from GIB. Patients with GBS ≥8 were more likely to rebleed, require transfusion and interventions to control bleeding but not to die.ConclusionA semiautomated GBS calculator can be incorporated into an ER workflow. Patients with a GBS ≤7 are unlikely to need MB care for UGIB. Further studies are warranted to determine an ideal scoring system for MB admission.

Acute upper gastrointestinal bleeding: identifying low risk patients

Gut ◽  
2012 ◽  
Vol 61 (11) ◽  
pp. 1641.1-1641
Author(s):  
Richard F A Logan ◽  
Sarah Hearnshaw ◽  
Derek Lowe ◽  
Simon P L Travis ◽  
M Stephen Murphy ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Low Risk ◽  
Acute Upper Gastrointestinal Bleeding ◽  
Risk Patients ◽  
Upper Gastrointestinal

scholarly journals Effect of upper gastrointestinal bleeding on prognosis of middle-aged patients with acute ischemic stroke: a retrospective study

2021 ◽  
Vol 10 (13) ◽  
pp. 53-53
Author(s):  
Tinggang Wang ◽  
Dongxiao Zhu ◽  
Liang Kong ◽  
Chenyan Mu ◽  
Chaosheng Li ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Retrospective Study ◽  
Gastrointestinal Bleeding ◽  
Acute Ischemic Stroke ◽  
Upper Gastrointestinal Bleeding ◽  
Middle Aged ◽  
Aged Patients ◽  
Upper Gastrointestinal

scholarly journals Triaging patients with upper gastrointestinal bleeding: the utility of Glasgow-Blatchford score

2019 ◽  
Vol 8 (1) ◽  
pp. 42
Author(s):  
Namita Mohanty ◽  
Arjun Nataraj Kannan
Keyword(s):  
High Risk ◽  
Blood Transfusion ◽  
Gastrointestinal Bleeding ◽  
Hospital Stay ◽  
Upper Gastrointestinal Bleeding ◽  
Positive Likelihood Ratio ◽  
Low Risk ◽  
P Value ◽  
Duration Of Hospital Stay ◽  
Upper Gastrointestinal

Background: Glasgow-Blatchford bleeding score (GBS), was developed to predict the need for hospital-based intervention (transfusion, endoscopic therapy or surgery) or death following upper gastrointestinal bleeding. Study evaluated the Glasgow Blatchford score’s (GBS) ability to identify high risk patients who needed blood transfusion in patients with UGI haemorrhage.Methods: A total of 270 cases admitted with upper gastrointestinal bleeding in the Medical ICU/Wards of MKCG Medical College were put on Blatchford scoring system and classified as those requiring (high risk = GBS >1) and not requiring blood transfusion (low risk) based on the score assigned on admission and a correlation between initial scoring and requirement of blood transfusion was done.Results: Units of blood transfusion required, the GBS and duration of hospital stay were significantly lower among the low risk group, all with p value <0.001. No blood transfusion was required in patients with GBS <3. There was significant correlation between GB score and requirement of blood transfusion (p <0.001) and duration of hospital stay (p <0.001). GBS had 100% sensitivity, negative predictive value and positive likelihood ratio, when a cut off of > 16 was used in predicting mortality.Conclusions: Patients presenting with Upper GI bleeding can be triaged in casualty with Glasgow Blatchford scoring. Patients with a low score of less than or equal to 3 can be safely discharged and reviewed on follow up thereby reducing admission, allowing more efficient use of hospital resources.

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