Efficacy and safety of an early discharge protocol in low-risk patients with upper gastrointestinal bleeding

Risk Assessment and Outpatient Management in Bleeding Peptic Ulcer

“…It seems reasonable to assume an association of older age with a worse prognosis, as some authors have demonstrated, 5 although other studies (including ours) did not identify this variable as an unfavorable prognosis factor. 10,11 On the other hand, we did not find an association between comorbidity per se and unfavorable prognosis; this result is in agreement with several previous reports 10, 11 but not with others. 12,13 Endoscopic variables are most important when estimating UGIB prognosis.…”

Endoscopy for Acute Nonvariceal Upper Gastrointestinal Tract Hemorrhage: Is Sooner Better?

“…The authors found that there were 3 deaths and only 1 episode of rebleeding at 1 month of follow-up among 209 patients deemed low risk by the guideline.Thedeathswererelatedtochronic medical conditions and not to complications of UGIH. While early endoscopy was not an explicit component of the intervention guidelines, it was found to be an independent predictor of decreased length of stay for low-riskpatients.Thesedatawereconfirmed by Moreno et al 39 in a study using the same discharge guidelines. In contrast to the Hay et al study, this trial covered a continuous period and compared data with retrospective controls.…”

Comparing the Blatchford and pre-endoscopic Rockall score in predicting the need for endoscopic therapy in patients with upper GI hemorrhage

“…Indeed, as much as the Blatchford score is useful for selecting patients who may not require an early EGD, prompt endoscopy can further determine a patient's risk, facilitate early discharge, and is cost saving. [23][24][25][26] There are some limitations to this study. Our study consisted only of patients who had undergone an EGD; patients who were discharged by the emergency department may have been missed, creating a bias.…”