Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-29T13:00:49.785Z Has data issue: false hasContentIssue false

Emergency department risk stratification in upper gastrointestinal bleeding

Published online by Cambridge University Press:  11 May 2015

Huma Ali*
Affiliation:
Department of Emergency Medicine, Royal Victoria Hospital, Montreal, QC
Eddy Lang
Affiliation:
Department of Family Medicine, University of Calgary, Calgary, AB
Alan Barkan
Affiliation:
Department of Family Medicine, University of Calgary, Calgary, AB
*
Department of Emergency Medicine, Royal Victoria Hospital, 687 Pine Avenue West, A4.62, Montreal, QC H3A 1A1; [email protected]

Abstract

Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Knowledge to Practice • Des connaissances à la pratique
Copyright
Copyright © Canadian Association of Emergency Physicians 2012

References

REFERENCES

1.Gralnek, IM, Barkun, AN, Bardou, M. Management of acute bleeding from a peptic ulcer. N Engl J Med 2008;359:928–37, doi:10.1056/NEJMra0706113.Google Scholar
2.Stanley, AJ, Ashley, D, Dalton, HR, et al. Outpatient management of patients with low-risk upper-gastrointestinal hemorrhage: multicentre validation and prospective evaluation. Lancet 2009;373:42–7, doi:10.1016/S0140-6736(08)61769-9.Google Scholar
3.Rockall, TA, Logan, RF, Devlin, HB, et al. Risk assessment after acute upper gastrointestinal hemorrhage. Gut 1996;38:316–21, doi:10.1136/gut.38.3.316.Google Scholar
4.Vreeburg, EM, Terwee, CB, Snel, P, et al. Validation of the Rockall risk scoring system in upper gastrointestinal bleeding. Gut 1999;44:331–5, doi:10.1136/gut.44.3.331.Google Scholar
5.Enns, RA, Gagnon, YM, Barkun, AN, et al. Validation of the Rockall scoring system for outcomes from non-variceal upper gastrointestinal bleeding in a Canadian setting. World J Gastroenterol 2006;12:7779–85.Google Scholar
6.Guyatt, G, Rennie, D, Meade, MO, Cook, DJ. Users’ guides to the medical literature: essentials of evidence-based clinical practice. 2nd ed. New York: McGraw-Hill Medical; 2008.Google Scholar
7.McGinn, T, Wyer, P, Wisnivesky, J, et al. Clinical prediction rules. In: Guyatt, G, Rennie, D, Meade, MO, Cook, DJ, editors. Users’ guides to the medical literature: a manual for evidence-based clinical practice. 2nd ed. New York: McGraw-Hill; 2008. Available at: http://www.jamaevidence.com.login.ezproxy.library.ualberta.ca/content/3347345 (accessed March 11, 2010).Google Scholar
8.Romagnuolo, J, Barkun, AN, Enns, R, et al. Simple clinical predictors may obviate urgent endoscopy in selected patients with nonvariceal upper gastrointestinal tract bleeding. Arch Intern Med 2007;167:265–70, doi:10.1001/archinte.167.3.265.Google Scholar
9.Gralnek, IM, Dulai, GS. Incremental value of upper endoscopy for triage of patients with acute non-variceal upper-GI hemorrhage. Gastrointest Endosc 2004;60:914, doi:10.1016/S0016-5107(04)01524-X.CrossRefGoogle ScholarPubMed
10.Masaoka, T, Suzuki, H, Hori, S, et al. Blatchford scoring system is a useful scoring system for detecting patients with upper gastrointestinal bleeding who do not need endoscopic intervention. J Gastroenterol Hepatol 2007;22:1404–8.Google Scholar
11.Barkun, A, Sabbah, S, Enns, R, et al. The Canadian Registry on Nonvariceal Upper Gastrointestinal Bleeding and Endoscopy (RUGBE): endoscopic hemostasis and proton pump inhibition are associated with improved outcomes in a real-life setting. Am J Gastroenterol 2004;99:1238–46, doi:10.1111/j.1572-0241.2004.30272.x.Google Scholar
12.Barkun, AN, Bardou, M, Kuipers, E, et al. International consensus recommendations on the management of patients with nonvariceal upper gastrointestinal bleeding. Ann Intern Med 2010;152:101–13.Google Scholar