SHA2PE is an acronym for the score's parameters.
Patient selection: lower GI bleeding
Hospital-based intervention: transfusion, endoscopic hemostatic therapy, arterial embolization, surgery
SHA2PE is an acronym for the score's parameters.
Parameters:
(1) systolic blood pressure in mm Hg
(2) hemoglobin in g/dL
(3) antiplatelet therapy
(4) anticoagulant therapy
(5) pulse in beats per minute
(6) emergency room bleeding
|
Parameter
|
Finding
|
Points
|
|
systolic blood pressure
|
< 100 mm Hg
|
1
|
|
|
>= 100
|
0
|
|
hemoglobin
|
> 12.0 g/dL
|
0
|
|
|
10.5 to 12.0
|
1
|
|
|
< 10.5 g/dL
|
2
|
|
antiplatelet therapy
|
no
|
0
|
|
|
yes
|
1
|
|
anticoagulant therapy
|
no
|
0
|
|
|
yes
|
1
|
|
pulse
|
<= 100 beats per minute
|
0
|
|
|
> 100 beats per minute
|
1
|
|
emergency room bleeding
|
no
|
0
|
|
|
yes
|
1
|
total score =
= SUM(points for all 6 parameters)
Interpretation:
• minimum score: 0
• maximum score: 7
• A patient with a score <= 1 was highly unlikely to have a hospital-based intervention.
Performance:
• The area under the ROC curve was 0.83.
• The negative predictive value was 96%.
