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Minerva

Assessing lower GI bleeds . . . and other stories

BMJ 2019; 364 doi: https://doi.org/10.1136/bmj.l112 (Published 17 January 2019) Cite this as: BMJ 2019;364:l112

Lower gastrointestinal bleeds

Scoring systems for ill people are usually designed to recognise those who need investigation and intervention most urgently. A system for evaluating lower gastrointestinal bleeding takes the opposite approach, developing a risk score to identify patients who can be managed safely without hospital admission (Scand J Gastroenterol doi:10.1080/00365521.2018.1532019). The score depends on blood pressure, pulse rate, haemoglobin level, and presence or absence of treatment with anticoagulants or antiplatelet drugs. It still needs to be evaluated prospectively but, on a test dataset, it misclassified only 2% of low risk …

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