II. Indication
III. Criteria: Add score from each of the following 5 criteria
- Age
- Score 0: Age less than 60 years
- Score 1: Age 60 to 79 years
- Score 2: Age 80 years or older
-
Shock symptoms
- Score 0: Shock absent, normal Heart Rate and Blood Pressure
- Score 1: Heart Rate 100 or higher
- Score 2: Systolic Blood Pressure <100 mmHg (and Heart Rate 100 or higher)
- Comorbidity
- Score 0: None
- Score 2: CHF, CAD or other major comorbidity
- Score 3: Renal Failure, liver failure or metastatic cancer
- Endoscopic diagnosis
- Score 0: No lesion and no stigmata of recent Hemorrhage (or Mallory-Weiss tear)
- Score 1: All other Upper Gastrointestinal Bleeding causes (except upper gastrointestinal cancer)
- Score 2: Upper Gastrointestinal Tract cancer
- Stigmata of recent Gastrointestinal Bleeding
- Score 0: No stigmata or dark spot only
- Score 3: Blood in upper GI Tract, adherent clot, visible vessel, or actively bleeding or spurting vessel
IV. Interpretation: Total cummulative score
- Score 0 to 2
- Rebleeding rate: 3.5 to 5.3%
- Mortality: 0 to 0.2%
- Score 3
- Rebleeding rate: 11.2%
- Mortality: 2.9%
- Score 4
- Rebleeding rate: 14.1%
- Mortality: 5.3%
- Score 5
- Rebleeding rate: 24.1%
- Mortality: 10.8%
- Score 6
- Rebleeding rate: 32.9%
- Mortality: 17.3%
- Score 7
- Rebleeding rate: 43.8%
- Mortality: 27%
- Score 8 or higher
- Rebleeding rate: 41.8%
- Mortality: 41.1%