Blatchford score is a useful tool for predicting the need for intervention in cancer patients with upper gastrointestinal bleeding
Journal of Gastroenterology and Hepatology, 03/18/2013Ahn S et al.
The Blatchford score is based on clinical and laboratory variables to predict need for clinical interventions in upper gastrointestinal bleeding (UGIB). The primary object was to evaluate the Blatchford score with clinical and full Rockall scores in patients with active cancer presenting to emergency department (ED) with UGIB. The secondary object was to assess the accuracy of the Blatchford score at different source of UGIB; cancer bleeding vs. non–malignant lesions. The Blatchford score outperformed both Rockall scoring system in predicting intervention in patients with active cancer. The source of bleeding was not important factor in the score performance. The Blatchford score has a very good sensitivity. However, suboptimal specificity limits its role as sole means of decision making in cancer patient with UGIB.
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