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Emergency department risk stratification in upper gastrointestinal bleeding

机译:急诊科上消化道出血的危险分层

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Upper gastrointestinal bleeding (UGIB) is a commonpresenting complaint to the emergency department(ED).1 It can be caused by a wide spectrum ofpathologies, some of which carry clinically significantmorbidity and mortality. Deciding whether a patientwarrants urgent endoscopic evaluation in the ED orcan be assessed on an outpatient basis is a challengingdecision to make. Referring all patients with evidenceof UGIB for urgent endoscopy may be unnecessaryand can prove to be costly and inefficient. A numberof risk scoring systems exist to predict clinicaloutcomes in patients with UGIB.
机译:上消化道出血(UGIB)是急诊科(ED)的常见症状。1可能由多种病理引起,其中一些具有临床上显着的发病率和死亡率。确定患者是否需要急诊内镜评估或是否可以在门诊患者基础上进行评估是一项具有挑战性的决定。可能没有必要将所有具有UGIB证据的患者转诊以进行紧急内镜检查,并且可能会证明这种方法昂贵且效率低下。存在许多风险评分系统来预测UGIB患者的临床结果。

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