Clinical findings, early endoscopy, and multivariate analysis in patients bleeding from the upper gastrointestinal tract.

Abstract

A simple system has been developed to identify patients with upper gastrointestinal tract haemorrhage who run a high risk of continued bleeding or rebleeding. The system is based on six items of patient data available at or soon after arrival in hospital. It was evaluated in a prospective study of 66 patients with upper gastrointestinal tract haemorrhage. Over half of the patients classified by the system into a high-risk category either continued bleeding or rebled after apparent cessation (as against one out of 33 patients in the low-risk category). The high-rish group also had a higher mortality (21%) than those in the low-risk group (nil). The addition or subtraction of early endoscopic findings made little difference to the accuracy of prognosis.

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@article{Morgan1977ClinicalFE, title={Clinical findings, early endoscopy, and multivariate analysis in patients bleeding from the upper gastrointestinal tract.}, author={Andrew G. Morgan and W A McAdam and Gemma L. Walmsley and Alasdair Jessop and Jane C. Horrocks and F T de Dombal}, journal={British medical journal}, year={1977}, volume={2 6081}, pages={237-40} }