Letter: the Shock Index and predicting outcomes in patients with upper gastrointestinal bleeding

McPherson, Simon; Hammond, Christopher J

doi:10.1111/apt.15605

Aliment Pharmacol Ther

2019

DOI: 10.1111/apt.15605

|View full text |Cite

Letter: the Shock Index and predicting outcomes in patients with upper gastrointestinal bleeding

Simon McPherson

Christopher J Hammond

Abstract: LINKED CONTENTThis article is linked to Saffouri et al and Stanley papers. To view these articles, visit https://doi.org/10.1111/apt.15541 and https://doi.org/10.1111/apt.15615.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2019

Publication Types

Select...

Article1

Relationship

Self Cite0

Independent1

Authors

Journals

Cited by 1 publication

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Letter: the Shock Index and predicting outcomes in patients with upper gastrointestinal bleeding. Author’s reply

Stanley

2019

Aliment Pharmacol Ther

View full text Add to dashboard Cite

>0.7 and 26% (152/587) >1 at the time of presentation with their GI bleed. This is a very different patient cohort from that of Saffouri et al 2 As shock index is a simple calculation of systolic blood pressure/ heart rate, it is perhaps predictable that it will perform more poorly than scoring systems which include heart rate and systolic blood pressure as components (Glasgow-Blatchford and Rockall scores). AIMS65 includes systolic blood pressure alone. In the paper by Saffouri et al 45.5% of patients (1368/3012) had an endoscopically confirmed upper GI bleed. The remainder had a normal endoscopy (297), no endoscopy (937) or are unaccounted for in the paper (410). The NCEPOD report made 26 recommendations to improve the care of patients with GI bleeding. These included a recommendation to encourage the development of risk stratification tools relevant to all GI bleeding presentations and sites of bleeding as clinical presentations do not reliably predict the site or type of bleeding. Embedding any risk assessment tools in care pathways is essential. A scoring system applicable to all GI bleeds at presentation may be better adopted.

show abstract

Letter: the Shock Index and predicting outcomes in patients with upper gastrointestinal bleeding. Author’s reply

Stanley

2019

Aliment Pharmacol Ther

View full text Add to dashboard Cite

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Letter: the Shock Index and predicting outcomes in patients with upper gastrointestinal bleeding

Abstract: LINKED CONTENTThis article is linked to Saffouri et al and Stanley papers. To view these articles, visit https://doi.org/10.1111/apt.15541 and https://doi.org/10.1111/apt.15615.

Cited by 1 publication

References 5 publications

Letter: the Shock Index and predicting outcomes in patients with upper gastrointestinal bleeding. Author’s reply

Letter: the Shock Index and predicting outcomes in patients with upper gastrointestinal bleeding. Author’s reply

Contact Info

Product

Resources

About