Oakland Score Shows Highest Specificity for Safe Discharge of Lower GI Bleeding Patients in ED
A study evaluating the Oakland score for identifying patients with lower gastrointestinal bleeding (LGIB) who can be safely discharged from the emergency department found that the Oakland score achieved the highest specificity (94.8%), outperforming clinical judgment and other established risk scores. Among 142 hospitalized patients, outcomes within 28 days included readmissions, blood transfusions, endoscopic hemostasis, and five deaths (none directly related to the bleeding).
Key quotes
The Oakland score achieved the highest specificity (94.8%), outperforming clinical judgment and other established risk scores for identifying patients with lower gastrointestinal bleeding (LGIB) who could be safely discharged from the emergency department (ED).
Overall, 142 patients were hospitalized.
Within 28 days, 16 patients were readmitted, 41 required blood transfusion, 24 needed endoscopic hemostasis, two required radiologic embolization, seven underwent transanal surgery, five needed laparotomy for surgical hemostasis, and five died; none of the deaths were directly related to the bleeding.
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