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Comparative Studies | Emergency Medicine | India | Volume 13 Issue 1, January 2024

Evaluating the Effectiveness of Modified Early Warning, Glasgow Blatchford, and Pre - Endoscopic Rockall Scoring Systems in Predicting Outcomes of Upper Gastrointestinal Bleeding in Emergency Care

Dorasanamma Malli | Gadam Sai Teja | Gujjula Sidhartha ^[2]

Abstract: Upper Gastrointestinal Bleeding (UGIB) is a common potentially life - threatening presentation to an Emergency Department (ED). In a busy ED, proper risk stratification and disposition of this critical presentation is critical for better patient management and resource utilization. Triage and scoring systems, which divide patients into low - risk and high - risk groups based on admission criteria prior to endoscopy, may be more practical. For patients suffering from acute GIS bleeding, risk scores based on clinical and endoscopic variables have been developed. We compared the utility of three scoring systems [Modified early warning score (MEWS), pre - endoscopic Rockall Score (PERS), and Glasgow Blatchford Score (GBS) ] in predicting 15 - day mortality and predicting blood transfusion need, re bleeding, and outcome within a 15 - day period. By comprehending the predictable nature of UGIB, healthcare professionals can identify individuals at risk and offer timely interventions. In conclusion, the GBS predicted the need for packed red blood cell transfusions better than the MEWS score and the pre - endoscopic Rockall score. In comparison to other scoring systems, the MEWS score is better at predicting admission and bleeding type. This study presents a remarkable insight of UGIB with profound implications for management and future therapeutic approaches.

Keywords: Upper Gastrointestinal Bleed, Modified early warning score (MEWS), pre - endoscopic Rockall Score (PERS), and Glasgow Blatchford Score (GBS)

Edition: Volume 13 Issue 1, January 2024,

Pages: 209 - 213