Table 1.
Score | 0 | 1 | 2 | 3 |
Variable | ||||
Age | < 60 yr | 60-79 yr | ≥ 80 yr | |
Shock | No shock, systolic BP ≥ 100, pulse < 100 | Tachycardia, systolic BP ≥ 100, pulse ≥ 100 | Hypotension, systolic BP < 100 | |
Comorbidity | No major comorbidity | Cardiac failure, ischaemic heart disease, any major comorbidity | Renal failure, liver failure, disseminated malignancy | |
Diagnosis | Mallory-Weiss tear, no lesion identified and no SRH | All other diagnoses | Malignancy of UGI tract | |
Major SRH | None or dark spot only | Blood in UGI tract, adherent clot, visible or spurting vessel |
Admission score: Sum of age, shock and comorbidity; full score: Sum of age, shock, comorbidity, diagnosis and major SRH; BP: Blood pressure (measured in mmHg); UGI: Upper gastrointestinal; SRH: Stigmata of recent haemorrhage.