Clinical findings, early endoscopy, and multivariate analysis in patients bleeding from the upper gastrointestinal tract. Issue 6081 (23rd July 1977)

• Record Type: Journal Article
• Authors: Morgan, A G; McAdam, W A; Walmsley, G L; Jessop, A; Horrocks, J C; de Dombal, F T
• Is Part Of: BMJ. Volume 2:Issue 6081(1977)
• Page Start: 237
• Page End: 240
• Publication Date: 1977-07-23
• Subjects: Medicine -- Periodicals; Medicine -- Periodicals; Medicine; Periodicals; 610
• DOI: 10.1136/bmj.2.6081.237
• Languages: English
• ISSNs: 0007-1447

Abstract

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.