Copyright
©The Author(s) 2016.
World J Gastrointest Pathophysiol. Feb 15, 2016; 7(1): 86-96
Published online Feb 15, 2016. doi: 10.4291/wjgp.v7.i1.86
Published online Feb 15, 2016. doi: 10.4291/wjgp.v7.i1.86
Table 1 Rockall score
Score | 0 | 1 | 2 | 3 |
Variable | ||||
Age | < 60 yr | 60-79 yr | ≥ 80 yr | |
Shock | No shock, systolic BP ≥ 100, pulse < 100 | Tachycardia, systolic BP ≥ 100, pulse ≥ 100 | Hypotension, systolic BP < 100 | |
Comorbidity | No major comorbidity | Cardiac failure, ischaemic heart disease, any major comorbidity | Renal failure, liver failure, disseminated malignancy | |
Diagnosis | Mallory-Weiss tear, no lesion identified and no SRH | All other diagnoses | Malignancy of UGI tract | |
Major SRH | None or dark spot only | Blood in UGI tract, adherent clot, visible or spurting vessel |
Table 2 Baylor bleeding score
Table 3 Cedars-sinai medical centre predictive index
Score | EGD findings1 | Time2 | Haemodynamics | Comorbidities |
0 | Ulcer without SHR, non-bleeding MW tear | > 48 h | Stable | ≤ 1 |
Erosive disease, normal EGD | ||||
1 | Ulcer with flat spot or clot, erosive disease with SHR, angiodysplasia | < 48 h | Intermediate | 2 |
2 | Ulcer with non- bleeding visible vessel or SHR | In hospital | Unstable | 3 |
3 | ≥ 4 | |||
4 | Persistent haemorrhage, varices | |||
UGI cancer |
Table 4 Progetto nazionale emorragia digestiva score
Score | 1 | 2 | 3 | 4 |
Variables | ASA 3 | Hb level ≤ 7 g/dL | Rebleeding | Failure of endoscopic |
Time to | Age ≥ 80 | ASA 4 | treatment | |
admission < 8 h | Renal failure | Neoplasia | ||
Liver cirrhosis |
Table 5 Glasgow blatchford score
Table 6 AIMS65 Score
Variable | Score |
Albumin < 3 g/dL | 1 |
International normalized ratio > 1.5 | 1 |
Systolic blood pressure < 90 mmHg | 1 |
Altered mental status | 1 |
Age > 65 yr | 1 |
Table 7 T-score
Score | 1 | 2 | 3 |
Variable | |||
General conditions | Poor | Intermediate | Good |
Pulse (beats/min) | > 110 | 90-110 | < 90 |
Systolic blood pressure (mmHg) | < 90 | 90-110 | > 110 |
Haemoglobin levels (g/dL) | ≤ 8 | 9-10 | > 10 |
Table 8 Outcomes
Scores | Primary outcome | Original studies |
Endoscopy based score | ||
Forrest classification | Rebleeding | [12] |
BBS | Rebleeding | [19] |
CSMCPI | Mean length of stay | [20] |
Rockall | Mortality | [15] |
PNED | Mortality | [21] |
Clinical scores | ||
Clinical rockall | Mortality | [15] |
GBS | Need intervention | [41] |
AIMS65 | Mean length of stay/mortality | [23] |
T-score | Time to endoscopy | [24,65] |
- Citation: Monteiro S, Gonçalves TC, Magalhães J, Cotter J. Upper gastrointestinal bleeding risk scores: Who, when and why? World J Gastrointest Pathophysiol 2016; 7(1): 86-96
- URL: https://www.wjgnet.com/2150-5330/full/v7/i1/86.htm
- DOI: https://dx.doi.org/10.4291/wjgp.v7.i1.86