Upper GI Bleeding Risk Score - Medical Algorithm

Evaluation

Are you evaluating a patient who has just presented with acute upper GI hemorrhage?

Yes

Systolic blood pressure

mm Hg

Was red blood seen in the gastric lavage?

Yes

Did the patient have hematemesis?

Yes

Does the patient have cirrhosis or ascites?

Yes

Initial hematocrit (enter from 0 to 100)

percent

Results

Please fill out required fields.

Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total risk score

Estimated risk for rebleeding

Risk group for triage

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
- Cedars-Sinai Medical Center Predictive Index for Upper GI Hemorrhage
Criteria For Diagnosis
- EVendo Score to Screen for High Risk Esophageal Varices
Severity, Prognosis, Stage
Complications
- Upper Gastrointestinal Hemorrhage | Impact of Comorbid Disease on Mortality

Therapy

Selection
- Models of Siringo et al for Predicting the Time to the First Variceal Hemorrhage in a Patient with Cirrhosis

Monitoring

Disease Progression
- Upper Gastrointestinal Hemorrhage | Impact of Comorbid Disease on Mortality
Complication Detection
- Upper Gastrointestinal Hemorrhage | Impact of Comorbid Disease on Mortality
Comorbid Conditions
- Upper Gastrointestinal Hemorrhage | Impact of Comorbid Disease on Mortality

Specialty

Gastroenterology

Objective

risk factors
severity
prognosis
stage
selection

ICD-10

I85.0 - Oesophageal varices with bleeding
K25 - Gastric ulcer
K26 - Duodenal ulcer
K29 - Gastritis and duodenitis

Decision Rule of Corley et al for Adverse Outcome in Patients with Upper Gastrointestinal Hemorrhage Using Data Available at Initial Presentation

Purpose: To evaluate a patient with upper gastrointestinal (GI) bleeding for risk of adverse outcome using the decision rule of Corley et al.