title: [Upper gastrointestinal bleeding: usefulness of prognostic scores].
abstract: Upper gastrointestinal bleeding is a potentially serious event, usually requiring urgent endoscopic treatment. Better stratification of the risk of complication or death could optimize management and improve patient outcomes, while ensuring adequate resource allocation. Several prognostic scores have been developed, in order to identify high risk patients, who require immediate treatment, and patients at low risk for whom endoscopy may be delayed. An ideal prognostic score should be accurate, simple, reproducible, and prospectively validated in different populations. Published scores meet these requirements only partially, and thus can only be used as part of an integrative diagnostic and therapeutic process.
authors.affiliation: Service de médecine interne, Hôpital intercantonal de la Broye, Avenue de la Colline 3 1530 Payerne. stephane.badel@hibroye.ch
authors.forename: S
authors.initials: S
authors.lastname: Badel
authors.forename: G
authors.initials: G
authors.lastname: Dorta
authors.forename: P-N
authors.initials: PN
authors.lastname: Carron
mesh_terms: D016099:Endoscopy, Gastrointestinal; D019317:Evidence-Based Medicine; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D006801:Humans; D011237:Predictive Value of Tests; D011379:Prognosis; D018570:Risk Assessment; D012307:Risk Factors; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D041742:Upper Gastrointestinal Tract