Cedars-Sinai Medical Center Predictive Index for Upper GI Hemorrhage

Age of the patient

Does the patient have a cardiac dysrhythmia?

Does the patient have an acute myocardial infarction?

Does the patient have ischemic chest pain?

Does the patient have congestive heart failure requiring medical intervention?

Does the patient have acute alcoholic hepatitis?

Does the patient have cirrhosis?

Is the patient in acute respiratory failure?

Does the patient have pneumonia?

Does the patient have obstructive lung disease requiring medical intervention?

Serum creatinine

Is the patient being dialyzed?

Has the patient had a stroke in the past 6 months?

Does the patient have delerium or dementia?

Does the patient have a solid malignant tumor?

Is the patient septic?

Has the patient had major surgery within the past 30 days?

Does the patient's medical condition require continued hospitalization?

Did the bleeding start in the hospital?

Duration of symptoms in hours prior to hospitalization

Is the patient's condition stable?

Is the patient hemodynamically unstable?

Persistent upper GI hemorrhage?

Varices?

Upper GI cancer?

Peptic ulcer disease with a visible but nonbleeding vessel?

Peptic ulcer disease with evidence of recent hemorrhage?

Peptic ulcer disease with no evidence of recent hemorrhage?

Peptic ulcer disease with spot or clot?

Erosive disease with evidence of recent hemorrhage?

Erosive disease with no evidence of recent hemorrhage?

Angiodysplasia?

Nonbleeding Mallory-Weiss tear?