Letters
Risk scoring in upper GI bleeding
Authors’ reply to Dib
BMJ 2017; 357 doi: https://doi.org/10.1136/bmj.j3023 (Published 22 June 2017) Cite this as: BMJ 2017;357:j3023
- Adrian Stanley, consultant gastroenterologist1,
- Stig Laursen, postdoctoral researcher in gastroenterology2
- On behalf of coauthors
- 1Department of Gastroenterology, Glasgow Royal Infirmary, Glasgow G4 OSF, UK
- 2Department of Medical Gastroenterology, Odense University Hospital, Odense, Denmark
- adrian.stanley{at}ggc.scot.nhs.uk
Pre-endoscopy scoring systems do not take into account whether bleeding is from varices because that is unknown before endoscopy. Several risk scoring systems, however, such as the Glasgow Blatchford score and admission Rockall score include underlying liver disease (and other comorbidities) as variables. In addition, and as Dib notes,1 the AIMS65 score includes albumin and international normalised ratio, which are often altered in patients …
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