What question did this study set out to answer?

This research aims to evaluate the effectiveness of various risk scores in predicting in-hospital mortality and ICU admission for cirrhotic patients experiencing UGIB.

May 25, 2026CureusOpen Access

Upper Gastrointestinal Bleeding in Cirrhosis: Differential Performance of Risk Scores for In-Hospital Mortality and Intensive Care Unit Triage Decisions

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Authors

ICIlie Marius I CiorbaUniversitatea de Medicină, Farmacie, Științe și Tehnologie „George Emil Palade” din Târgu Mureș NCNicoleta Craciun CiorbaUniversitatea de Medicină, Farmacie, Științe și Tehnologie „George Emil Palade” din Târgu Mureș SBSimona M BatagaUniversitatea de Medicină, Farmacie, Științe și Tehnologie „George Emil Palade” din Târgu Mureș

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Implication

Retrospective cohort study identifies optimal risk scores for mortality and ICU triage in cirrhotic patients with UGIB, implying need for improved triage strategies.

Key Points

This research aims to evaluate the effectiveness of various risk scores in predicting in-hospital mortality and ICU admission for cirrhotic patients experiencing UGIB.
Conducted a retrospective cohort study of cirrhotic patients with UGIB from January 2024 to December 2025 in a tertiary referral center.
Assessed in-hospital mortality and ICU admission based on institutional criteria, comparing various risk scores' discrimination using AUROC.
Performed logistic regression to evaluate the incremental value of combined physiology and liver severity models.
MELD-Na showed the highest mortality discrimination with AUROC 0.898 (95% CI 0.849-0.940).
AIMS65 and Rockall scores outperformed liver-only scores for ICU admission, with AIMS65 achieving AUROC 0.930 (95% CI 0.896-0.960).
Combining MELD-Na with AIMS65 improved mortality prediction (AUROC 0.919).

Cite This Study

Ciorba et al. (2026) studied this question.

synapsesocial.com/papers/6a13e71a0e02ee3982d31d89 https://doi.org/10.7759/cureus.c438

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Implication

Retrospective cohort study identifies optimal risk scores for mortality and ICU triage in cirrhotic patients with UGIB, implying need for improved triage strategies.

Upper Gastrointestinal Bleeding in Cirrhosis: Differential Performance of Risk Scores for In-Hospital Mortality and Intensive Care Unit Triage Decisions

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Cite This Study

Upper Gastrointestinal Bleeding in Cirrhosis: Differential Performance of Risk Scores for In-Hospital Mortality and Intensive Care Unit Triage Decisions

Discussion

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Implication

Key Points

Cite This Study

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