Early risk assessment of patients presented with upper gastrointestinal bleeding

Mustafa, M.Z. and Stanley, A.J. (2014) Early risk assessment of patients presented with upper gastrointestinal bleeding. In: Abdel Aal, A.K. and Saddekni, S. (eds.) Gastrointestinal Bleeding: Symptoms, Treatment and Prognosis. Series: Emergency and intensive care medicine. Nova Biomedical: New York, pp. 39-48. ISBN 9781631173349

Abstract

Upper gastrointestinal bleeding (UGIB) remains a common medical emergency worldwide. Early risk assessment is increasingly recognized as an important part in the management of patients with UGIB, which helps direct patient care and timing of endoscopy. Several risk scores have been developed to identify endpoints including mortality, re-bleeding and clinical intervention including transfusion, endoscopic therapy or surgery. Most of these risk scores include endoscopic findings although a minority do not. Recent studies have reported an accurate identification of a very low risk group of patients on presentation, based on simple clinical or laboratory parameters. These low risk patients do not require admission and can be managed with early out-patient endoscopy. This article aims to describe existing risk scores for UGIB and their role in the management of patients presenting with this condition.

• Item Type: Book Sections
• Status: Published
• Glasgow Author(s) Enlighten ID: Stanley, Dr Adrian
• Authors: Mustafa, M.Z., and Stanley, A.J.
• College/School: College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
• Publisher: Nova Biomedical
• ISBN: 9781631173349