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  • Upper GI Bleeding Score

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Upper GI Bleeding Score

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  1. Indication
    1. Upper Gastrointestinal Bleeding
    2. Replaces Rockall scoring system
  2. Criteria
    1. Blood Urea Nitrogen (BUN)
      1. BUN 18.2 to 22.4 mg/dl: Score 2
      2. BUN 22.4 to 28 mg/dl: Score 3
      3. BUN 28 to 70 mg/dl: Score 4
      4. BUN >70 mg/dl: Score 6
    2. Hemoglobin
      1. Men
        1. Hemoglobin 12 to 13 g/dl: Score 1
        2. Hemoglobin 10 to 12 g/dl: Score 3
        3. Hemoglobin <10 g/dl: Score 6
      2. Women
        1. Hemoglobin 10 to 12 g/dl: Score 1
        2. Hemoglobin <10 g/dl: Score 6
    3. Systolic Blood Pressure (SBP)
      1. SBP 100 to 109 mmHg: Score 1
      2. SBP 90 to 99 mmHg: Score 2
      3. SBP <90 mmHg: Score 3
    4. Miscellaneous Markers
      1. Pulse >100 per minute: 1
      2. Presentation with Melena: 1
      3. Presentation with Syncope: 2
      4. Hepatic disease: 2
      5. Cardiac function: 2
  3. Interpretation
    1. Assesses probability for intervention
      1. Endoscopy
      2. Surgery
    2. Score predicting resolution without intervention: <4
    3. Score predicting intervention: >5
  4. References
    1. Blatchford (2000) Lancet 356:1319

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