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British Medical Journal logoLink to British Medical Journal
. 1977 Jul 23;2(6081):237–240. doi: 10.1136/bmj.2.6081.237

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

A G Morgan, W A McAdam, G L Walmsley, A Jessop, J C Horrocks, F T de Dombal
PMCID: PMC1631343  PMID: 301766

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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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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