Conference Proceedings
A MULTI-CENTRE ANALYSIS OF AUGIB; UREA-CREATININE RATIOIS A USEFUL PREDICTOR FOR BLEEDING, AND ENDOTHERAPY
Solange Serna, Jonathan Segal, Abdullah Abbasi, Junaid Aleem, Noor Alhamamy, Jad Alkoury, Raheel Anjum, Benjamin Disney, Emma Howard, Aaron Hundle, Nasir Hussain, Asem Ismail, Michael McFarlane, Ella Mozdiak, Saskia Port, Deepa Rattehalli, John Schembri, Geeth Silva, Mo Thoufeeq, Ajay Verma
GUT | BMJ PUBLISHING GROUP | Published : 2021
Abstract
The assessment of patients presenting with symptoms of acute upper GI bleed (AUGIB) is critical in determining if patients would benefit from a gastroscopy and endoscopically delivered therapy. The Rockall score, and superiorly, the Glasgow-Blatchford score (GBS) have been validated as effective risk tools for this purpose. The GBS considers serum urea levels, it established that digested blood from AUGIB causes a raised serum urea. This may be confounded by patients with kidney injury (acute, or acute on chronic) which may occur as a consequence of hypovolaemia in susceptible patients with AUGIB. There has been evidence that a urea creatinine ratio (UCR) may be useful identifying patients w..
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