Publicação
Upper gastrointestinal bleeding risk scores: who, when and why?
| Resumo: | Upper gastrointestinal bleeding (UGIB) remains a significant cause of hospital admission. In order to stratify patients according to the risk of the complications, such as rebleeding or death, and to predict the need of clinical intervention, several risk scores have been proposed and their use consistently recommended by international guidelines. The use of risk scoring systems in early assessment of patients suffering from UGIB may be useful to distinguish high-risks patients, who may need clinical intervention and hospitalization, from low risk patients with a lower chance of developing complications, in which management as outpatients can be considered. Although several scores have been published and validated for predicting different outcomes, the most frequently cited ones are the Rockall score and the Glasgow Blatchford score (GBS). While Rockall score, which incorporates clinical and endoscopic variables, has been validated to predict mortality, the GBS, which is based on clinical and laboratorial parameters, has been studied to predict the need of clinical intervention. Despite the advantages previously reported, their use in clinical decisions is still limited. This review describes the different risk scores used in the UGIB setting, highlights the most important research, explains why and when their use may be helpful, reflects on the problems that remain unresolved and guides future research with practical impact. |
|---|---|
| Autores principais: | Monteiro, Sara |
| Outros Autores: | Gonçalves, Tiago Cúrdia; Magalhães, Joana; Cotter, José |
| Assunto: | Upper gastrointestinal bleeding Risk scores Risk assessment Rockall score Glasgow blatchford score |
| Ano: | 2016 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade do Minho |
| Idioma: | inglês |
| Origem: | RepositóriUM - Universidade do Minho |
| _version_ | 1867439138305736704 |
|---|---|
| author | Monteiro, Sara |
| author2 | Gonçalves, Tiago Cúrdia Magalhães, Joana Cotter, José |
| author2_role | author author author |
| author_facet | Monteiro, Sara Gonçalves, Tiago Cúrdia Magalhães, Joana Cotter, José |
| author_role | author |
| contributor_name_str_mv | RepositóriUM - Universidade do Minho |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Monteiro, Sara\"},{\"Person.name\":\"Gonçalves, Tiago Cúrdia\"},{\"Person.name\":\"Magalhães, Joana\"},{\"Person.name\":\"Cotter, José\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | RepositóriUM - Universidade do Minho |
| datacite.creators.creator.creatorName.fl_str_mv | Monteiro, Sara Gonçalves, Tiago Cúrdia Magalhães, Joana Cotter, José |
| datacite.date.Accepted.fl_str_mv | 2016-01-01T00:00:00Z |
| datacite.date.available.fl_str_mv | 2017-11-06T15:05:55Z |
| datacite.date.embargoed.fl_str_mv | 2017-11-06T15:05:55Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Upper gastrointestinal bleeding Risk scores Risk assessment Rockall score Glasgow blatchford score |
| datacite.titles.title.fl_str_mv | Upper gastrointestinal bleeding risk scores: who, when and why? |
| dc.contributor.none.fl_str_mv | RepositóriUM - Universidade do Minho |
| dc.creator.none.fl_str_mv | Monteiro, Sara Gonçalves, Tiago Cúrdia Magalhães, Joana Cotter, José |
| dc.date.Accepted.fl_str_mv | 2016-01-01T00:00:00Z |
| dc.date.available.fl_str_mv | 2017-11-06T15:05:55Z |
| dc.date.embargoed.fl_str_mv | 2017-11-06T15:05:55Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | https://hdl.handle.net/1822/47054 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Baishideng Publishing Group |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Upper gastrointestinal bleeding Risk scores Risk assessment Rockall score Glasgow blatchford score |
| dc.title.fl_str_mv | Upper gastrointestinal bleeding risk scores: who, when and why? |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Upper gastrointestinal bleeding (UGIB) remains a significant cause of hospital admission. In order to stratify patients according to the risk of the complications, such as rebleeding or death, and to predict the need of clinical intervention, several risk scores have been proposed and their use consistently recommended by international guidelines. The use of risk scoring systems in early assessment of patients suffering from UGIB may be useful to distinguish high-risks patients, who may need clinical intervention and hospitalization, from low risk patients with a lower chance of developing complications, in which management as outpatients can be considered. Although several scores have been published and validated for predicting different outcomes, the most frequently cited ones are the Rockall score and the Glasgow Blatchford score (GBS). While Rockall score, which incorporates clinical and endoscopic variables, has been validated to predict mortality, the GBS, which is based on clinical and laboratorial parameters, has been studied to predict the need of clinical intervention. Despite the advantages previously reported, their use in clinical decisions is still limited. This review describes the different risk scores used in the UGIB setting, highlights the most important research, explains why and when their use may be helpful, reflects on the problems that remain unresolved and guides future research with practical impact. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
| fulltext.url.fl_str_mv | https://repositorium.uminho.pt/bitstreams/b5bc77d6-ac69-4c33-ba88-93508a81dd37/download |
| id | rum_4e3814833432caee5bfb9a07bd8b7c8c |
| identifier.url.fl_str_mv | https://hdl.handle.net/1822/47054 |
| instacron_str | repositorium |
| institution | Universidade do Minho |
| instname_str | Universidade do Minho |
| language | eng |
| network_acronym_str | rum |
| network_name_str | RepositóriUM - Universidade do Minho |
| oai_identifier_str | oai:repositorium.uminho.pt:1822/47054 |
| organization_str_mv | urn:organizationAcronym:repositorium |
| person_str_mv | Monteiro, Sara Gonçalves, Tiago Cúrdia Magalhães, Joana Cotter, José |
| publishDate | 2016 |
| publisher.none.fl_str_mv | Baishideng Publishing Group |
| reponame_str | RepositóriUM - Universidade do Minho |
| repository_id_str | urn:repositoryAcronym:rum |
| service_str_mv | urn:repositoryAcronym:rum |
| spelling | engBaishideng Publishing GroupporUpper gastrointestinal bleeding (UGIB) remains a significant cause of hospital admission. In order to stratify patients according to the risk of the complications, such as rebleeding or death, and to predict the need of clinical intervention, several risk scores have been proposed and their use consistently recommended by international guidelines. The use of risk scoring systems in early assessment of patients suffering from UGIB may be useful to distinguish high-risks patients, who may need clinical intervention and hospitalization, from low risk patients with a lower chance of developing complications, in which management as outpatients can be considered. Although several scores have been published and validated for predicting different outcomes, the most frequently cited ones are the Rockall score and the Glasgow Blatchford score (GBS). While Rockall score, which incorporates clinical and endoscopic variables, has been validated to predict mortality, the GBS, which is based on clinical and laboratorial parameters, has been studied to predict the need of clinical intervention. Despite the advantages previously reported, their use in clinical decisions is still limited. This review describes the different risk scores used in the UGIB setting, highlights the most important research, explains why and when their use may be helpful, reflects on the problems that remain unresolved and guides future research with practical impact.application/pdfporUpper gastrointestinal bleeding risk scores: who, when and why?Monteiro, SaraGonçalves, Tiago CúrdiaMagalhães, JoanaCotter, JoséHostingInstitutionOrganizationalRepositóriUM - Universidade do Minhoe-mailmailto:repositorium@usdb.uminho.ptrepositorium@usdb.uminho.ptEISSNIsPartOf2150-53302017-11-06T15:05:55Z20162017-09-22T15:49:28Z2016-01-01T00:00:00ZHandlehttps://hdl.handle.net/1822/47054http://purl.org/coar/access_right/c_abf2open accessUpper gastrointestinal bleedingRisk scoresRisk assessmentRockall scoreGlasgow blatchford score1047790 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorium.uminho.pt/bitstreams/b5bc77d6-ac69-4c33-ba88-93508a81dd37/download |
| spellingShingle | Upper gastrointestinal bleeding risk scores: who, when and why? Monteiro, Sara Upper gastrointestinal bleeding Risk scores Risk assessment Rockall score Glasgow blatchford score |
| status | SINGLETON |
| subject.fl_str_mv | Upper gastrointestinal bleeding Risk scores Risk assessment Rockall score Glasgow blatchford score |
| title | Upper gastrointestinal bleeding risk scores: who, when and why? |
| title_full | Upper gastrointestinal bleeding risk scores: who, when and why? |
| title_fullStr | Upper gastrointestinal bleeding risk scores: who, when and why? |
| title_full_unstemmed | Upper gastrointestinal bleeding risk scores: who, when and why? |
| title_short | Upper gastrointestinal bleeding risk scores: who, when and why? |
| title_sort | Upper gastrointestinal bleeding risk scores: who, when and why? |
| topic | Upper gastrointestinal bleeding Risk scores Risk assessment Rockall score Glasgow blatchford score |
| topic_facet | Upper gastrointestinal bleeding Risk scores Risk assessment Rockall score Glasgow blatchford score |
| url | https://hdl.handle.net/1822/47054 |
| visible | 1 |