II. Indications
- Disposition in Lower Gastrointestinal Bleeding
III. Criteria
- Age
- Score 0: Age<40 years
- Score 1: Age 40 to 69 years
- Score 2: Age >=70 years
- Gender
- Score 0: Female
- Score 1: Male
- Prior Lower Gastrointestinal Bleeding
- Score 0: No
- Score 1: Yes
-
Digital Rectal Exam
- Score 0: No Blood
- Score 1: Blood
-
Heart Rate
- Score 0: Heart Rate <70 beats/min
- Score 1: Heart Rate 70 to 89 beats/min
- Score 2: Heart Rate 90 to 109 beats/min
- Score 3: Heart Rate >110 beats/min
- Systolic Blood Pressure
- Score 0: Systolic Blood Pressure >=160 mmHg
- Score 2: Systolic Blood Pressure 130 to 159 mmHg
- Score 3: Systolic Blood Pressure 120 to 129 mmHg
- Score 4: Systolic Blood Pressure 90 to 119 mmHg
- Score 5: Systolic Blood Pressure 50 to 89 mmHg
-
Hemoglobin
- Score 0: Hemoglobin >= 16.0 g/dl
- Score 4: Hemoglobin 13.0 to 15.9 g/dl
- Score 8: Hemoglobin 11.0 to 12.9 g/dl
- Score 13: Hemoglobin 9.0 to 10.9 g/dl
- Score 17: Hemoglobin 7.0 to 8.9 g/dl
- Score 22: Hemoglobin 3.6 to 6.9 g/dl
IV. Interpretation
- Total Score <=8 is consistent with safe discharge and outpatient follow-up
- At Score of <=8, risk of serious short-term complication <=1 to 5%
- Rebleeding
- Blood Transfusion required
- Therapeutic intervention required
- Readmission within 28 days
- Death