Table 5.
Score | Endoscopic findings | Time * | Hemodynamics | Comorbidities |
---|---|---|---|---|
0 | PUD (no SRH), Mallory-Weiss tear (NB), Erosive disease (no SRH), Normal finding | > 48 | Stable | ≤ 1 |
1 | PUD (spot/clot), Erosive disease (SRH), Angiodysplasia | < 48 | Intermediate | 2 |
2 | PUD (VVNB/SRH) | In hospital | Unstable | 3 |
3 | ≥ 4 | |||
4 | Persistent UGIH, Varices, UGI cancer |
Score range is 0 to 11. Patients with a score < 3 can be discharged from ED and others need hospitalization. The criteria of hemodynamic classification was not clearly defined.
Time means the interval between the initiation of bleeding and arrival to emergency department (hour), NB: Non-bleeding, PUD: Peptic ulcer disease, SRH: Signs of recent hemorrhage, UGI: Upper gastrointestinal, UGIH: Upper gastrointestinal hemorrhage, VVNB: Visible vessel, non-bleeding.