Choosing the right score and threshold to identify low-risk patients with an upper gastrointestinal bleeding is critical

Abstract

We read with great interest the article by Rivieri et al., [1] which compared the performance of several scores [pre-endoscopic Rockall score (PERS), Glasgow-Blatchford score (GBS), modified-GBS (mGBS), and AIMS65] to predict death or the need for an intervention among patients with an upper gastrointestinal bleeding (UGIB) in an emergency department (ED). UGIB is a common medical emergency, with a hospitalization rate of over 80% and a mortality of around 5-10%. Some patients can be categorized as at low-risk of death or at need of any intervention. Identifying precisely these patients could allow their management in an outpatient setting and, therefore, avoid unnecessary hospitalizations.

Comment to ‘Choosing the right score and threshold to identify low-risk patients with an upper gastrointestinal bleeding is critical’

“…We are grateful to Thiebaud et al . [1] for their comments about external validation and comparison of four risk scores in patients with upper gastrointestinal bleeding [2]. Even if the AIMS65 does not seem to have any advantage, it is important to assess all prognostic models in a European healthcare system.…”