Journal Article10.1016/S0140-6736(00)02816-6
A risk score to predict need for treatment for upper-gastrointestinal haemorrhage.
TL;DR: A risk score that predicts patients' risks of needing blood transfusion or intervention to control bleeding, rebleeding, or dying is developed and prospectively validated and developed as a simplified fast-track screen for use at initial presentation.
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About: This article is published in The Lancet. The article was published on 14 Oct 2000. The article focuses on the topics: Glasgow-Blatchford score & Rockall score.
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Citations
Diagnosis and management of nonvariceal upper gastrointestinal hemorrhage: European Society of Gastrointestinal Endoscopy (ESGE) Guideline
Ian M. Gralnek,Ian M. Gralnek,Jean-Marc Dumonceau,Ernst J. Kuipers,Angel Lanas,David S Sanders,Matthew Kurien,Gianluca Rotondano,Tomas Hucl,Mário Dinis-Ribeiro,Riccardo Marmo,I. Racz,Alberto Arezzo,Ralf Thorsten Hoffmann,Gilles Lesur,Roberto de Franchis,Lars Aabakken,Andrew Veitch,Franco Radaelli,Paulo Salgueiro,Ricardo S. Cardoso,Luís Maia,Angelo Zullo,Livio Cipolletta,Cesare Hassan +24 more
TL;DR: This Guideline is an official statement of the European Society of Gastrointestinal Endoscopy and addresses the diagnosis and management of nonvariceal upper gastrointestinal hemorrhage (NVUGIH).
Management of Patients With Ulcer Bleeding
Loren Laine,Dennis M. Jensen +1 more
TL;DR: This guideline presents recommendations for the step-wise management of patients with overt upper gastrointestinal bleeding, and patients with established cardiovascular disease who require aspirin should start PPI and generally re-institute aspirin soon after bleeding ceases.
756
A simple risk score accurately predicts in-hospital mortality, length of stay, and cost in acute upper GI bleeding
TL;DR: AIMS65 is a simple, accurate risk score that predicts in-hospital mortality, LOS, and cost in patients with acute upper GI bleeding and is validated by using data routinely available at initial evaluation.
486
Assessment of Diagnostic and Prognostic Role of Copeptin in the Clinical Setting of Sepsis
Stefania Battista,Umberto Audisio,Claudia Galluzzo,Matteo Maggiorotto,Monica Masoero,Daniela Forno,Elisa Pizzolato,Marco Ulla,Manuela Lucchiari,Annarita Vitale,Corrado Moiraghi,Enrico Lupia,Fabio Settanni,Giulio Mengozzi +13 more
TL;DR: Copeptin showed promising diagnostic and prognostic role in the management of sepsis, together with its possible role in monitoring the response to treatment, and no significant differences were found in copeptin temporal profile among different subgroups.
Outpatient management of patients with low-risk upper-gastrointestinal haemorrhage: multicentre validation and prospective evaluation
Adrian J. Stanley,D Ashley,Harry R. Dalton,Craig Mowat,Gaya,E Thompson,U Warshow,M Groome,A Cahill,George Benson,Oliver Blatchford,William R. Murray +11 more
TL;DR: The Glasgow-Blatchford bleeding score identifies many patients presenting to general hospitals with upper-gastrointestinal haemorrhage who can be managed safely as outpatients, allowing more appropriate use of in-patient resources.
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References
Is increased ammonia liberation after bleeding in the digestive tract the consequence of complete absence of isoleucine in hemoglobin? A study in pigs
Charles L. H. van Berlo,Anton E. J. M. van de Bogaard,Marion A. H. van der Heijden,Hans M.H. van Eijk,Mieke A. Janssen,May C. F. Bost,Peter B. Soeters +6 more
TL;DR: It is hypothesized that, due to complete lack of isoleucine in hemoglobin, ingestion of blood into the gut presents the organism with protein of low biological value, leading to decreased protein synthesis and to net protein degradation, which in turn may result in increased ammonia‐ and ureagenesis.
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Decreased plasma isoleucine concentrations after upper gastrointestinal haemorrhage in humans.
Cornelis H. C. Dejong,Wilhelmus J. H. J. Meijerink,C.L.H. van Berlo,Nicolaas E. P. Deutz,P.B. Soeters +4 more
TL;DR: These results confirm previous findings in animals and healthy volunteers that plasma isoleucine decreases after simulated upper gastrointestinal haemorrhage, and supports the hypothesis that the absence of isoleUCine in blood protein causes decreased plasma isolucine values after gastrointestinal haemsorrhages.
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•Journal Article
Azotemia in upper gastrointestinal hemorrhage. A review.
TL;DR: Azotemia which persists beyond this time indicates either continuation of bleeding, continuation of hypovolemia insult or intrinsic renal disease, an indication for re-evaluation of fluid management.
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