The Horibe GI bleeding prediction score: a simple score for triage decision-making in patients with suspected upper GI bleeding

Although upper gastrointestinal bleeding (UGIB) is a significant cause of inpatient admissions, no scoring method has proven to be accurate and simple as a standard for triage purposes. Therefore, we compared a previously described 3 variable score (1 point each for: absence of daily proton pump inhibitors use in the week before the index presentation, shock index (heart rate/systolic blood pressure ≥1, and blood urea nitrogen/creatinine ≥30), the Horibe gAstRointestinal BleedING prEdiction score(HARBINGER) with the 8 variable Glasgow Blatchford Score (GBS) and 5 variable AIMS65, to evaluate and validate the accuracy in predicting high-risk features that warrant admission and urgent endosco py.

Source: Gastrointestinal Endoscopy - March 29, 2020 Category: Gastroenterology Authors: Masayasu Horibe, Eisuke Iwasaki, Fateh Bazerbachi, Tetsuji Kaneko, Juntaro Matsuzaki, Kazuhiro Minami, Tatsuhiro Masaoka, Naoki Hosoe, Yuki Ogura, Shin Namiki, Yasuo Hosoda, Haruhiko Ogata, Andrew T. Chan, Takanori Kanai Source Type: research