Calculator: Combo – GI Bleeding

This calculator uses common variables to give estimates of mortality and need for intervention based on the Glasgow-Blatchford Score, the AIMS65 score and the MELD 3.0 score.

Demographic Variables

Age: 40 years (AIMS65, MELD)

Sex (GBS)

Historical Variables

History of Hepatic Disease (GBS)

Dialysis within 7 days (MELD)

History of Syncope (GBS)

Examination Variables

Heart Rate (HR) (GBS)

Initial Systolic Blood Pressure: 120 mmHg (AIMS65, GBS)

Signs of Cardiac Failure (GBS)

Alteration in Mental Status (AIMS65)

Melena (GBS)

Laboratory Variables

Hemoglobin (Hb): 120 g/L (GBS)

INR: 1.0 (AIMS65, MELD)

Sodium: 137 mmol/L (MELD)

Urea: 5.0 mmol/L (GBS)

Creatinine: 88 μmol/L (MELD)

Bilirubin: 17 μmol/L (MELD)

Albumin: 35 g/L (AIMS65, MELD)

MELD Survival Timeframe: 90 days (MELD)

Results

AIMS65 Score: 0

In-hospital mortality: 0.3%

Glasgow Blatchford Score (GBS): 0

Low risk for GI bleed. Consider outpatient management

MELD 3.0 Score: 6

Estimated 90-day survival: 97.6%

07/10/2024

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| Category: Calculators, Emergency Medicine, Intensive Care

Tags: bleeding, calculator, endoscopy, Gastroenterology, gastrointestinal, hepatic, mortality

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