Comparison of risk scoring systems for patients presenting with upper gastrointestinal bleeding: international multicentre prospective study.
Journal Club Summary Methodology Score:4/5 Usefulness Score:4/5 Stanley AJ, et al. BMJ.
2017 Jan 4;356:i6432. Full Article This multicentre, multinational study assessed the ability
of five upper gastrointestinal bleeding scores to predict outcomes including
death, re-bleeding, need for endoscopy, transfusion, surgery or interventional
radiology, and length of hospital stay, finding that the Glasgow Blatchford
score is best at predicting the composite outcome of intervention or death,
although AIMS65 was best at predicting mortality. While applying the scores as
recommended may result in missing a small number of significant outcomes, they
are easy to apply and can help expedite disposition planning, whether
outpatient management or hospital-based intervention. By: Dr. Daniel James
Epi lessonComposite OutcomesIt is not unusual for studies to select a composite outcome as their primary outcome measure. The necessity to do so is often justified by the rare occurrence of the primary outcome of t…
Epi lessonComposite OutcomesIt is not unusual for studies to select a composite outcome as their primary outcome measure. The necessity to do so is often justified by the rare occurrence of the primary outcome of t…