Description

Wang et al developed a score based on clinical findings that can help to identify a patient with high risk nonvariceal upper gastrointestinal tract bleeding. This can help to identify a pateint who may benefit from more aggressive management. The authors are from the Second Affiliated Hospital of Soochow University in Suzhou, China.


Patient selection: nonvariceal upper gastrointestinal bleeding

 

Parameter:

(1) red hematemesis

(2) red stool

(3) shock

 

Parameter

Finding

Points

red hematemesis

no

0

 

yes

0.84

red stool

no

0

 

yes

1.42

shock

no

0

 

yes

1.419

 

X =

= SUM(points for all 3 parameters) - 1.681

 

probability of high-risk NVUGIB =

= 1 / (1 + EXP((-1) * X))


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