Comparison of scoring systems for the prediction of outcomes in patients with nonvariceal upper gastrointestinal bleeding: a prospective study

Beom Jin Kim; Moon Kyung Park; Sang-Jung Kim; Eun Ruan Kim; Byung-Hoon Min; Hee Jung Son; Poong-Lyul Rhee; Kim, Jae J.; Jong Chul Rhee; Lee, Jun Haeng; Kim, Beom Jin; Park, Moon Kyung; Kim, Sang-Jung; Kim, Eun Ran; Min, Byung-Hoon; Son, Hee Jung; Rhee, Poong-Lyul; Rhee, Jong Chul
November 2009
Digestive Diseases & Sciences;Nov2009, Vol. 54 Issue 11, p2523
Academic Journal
journal article
The authors aimed to compare the clinical utility of five scoring systems for the prediction of rebleeding and death in patients with nonvariceal upper gastrointestinal bleeding (UGIB). A total of 239 consecutive patients who had undergone endoscopy due to nonvariceal UGIB were prospectively investigated on the basis of five scoring systems (Forrest classification, Rockall scoring system, Cedars-Sinai Medical Centre Predict Index, Blatchford scoring system, and Baylor college scoring system). Thirty-five patients (14.6%) experienced rebleeding and 20 patients (8.4%) died. Comparison of the high-risk categories of the four predictive systems showed that the Forrest classification was superior to the others in predicting rebleeding and death. The Cedars-Sinai Medical Centre Predict Index and the Rockall scoring system showed high positive predictive values for predicting rebleeding and death, respectively. We concluded that the Forrest classification was the most useful scoring system for the prediction of rebleeding and death in patients with nonvariceal UGIB.


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