clinical scoring systems in predicting the outcome of acute upper gastrointestinal bleeding; a narrative review

Prediction of the outcome and severity of acute upper gastrointestinal bleeding (ugib) has significant impor- tance in patient care, disposition, and determining the need for emergent endoscopy. recent international rec- ommendations endorse using scoring systems for management of non-variceal ugib patients. to date, differ- ent scoring systems have been developed for predicting the risk of 30-day mortality and re-bleeding. we have discussed the screening performance characteristics of baylor bleeding score, the rockall risk scoring score, cedars-sinai medical center predictive index, glasgow blatchford score, t-score, and aims65 systems, in the present review. based on the results of this survey, there are only 3 clinical decision rules that can predict the outcome of ugib patients, independent from endoscopy. among these, only glasgow blatchford score was highly sensitive for predicting the risk of 30-day mortality and re-bleeding, simultaneously.