Key result
A high Glasgow-Blatchford Score (>6) was an independent predictor of post-discharge gastrointestinal bleeding in patients with heart failure (HR 2.258; 95% CI 1.326-3.845; p=0.003).
Why the study?
The clinical significance of the Glasgow-Blatchford Score in predicting gastrointestinal bleeding in patients with heart failure remains unclear.
Does a high Glasgow-Blatchford Score predict post-discharge gastrointestinal bleeding in hospitalized patients with heart failure?
Population
2236 patients admitted for acute decompensated HF at Fukushima Medical University Hospital
Comparison
High GBS (> 6) vs low GBS (≤ 6)
Design
Prospective observational study
Follow-up
Median of 1235 days
Authors
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High GBS may flag elevated post-discharge GI bleeding risk; hypothesis-generating and should not yet change practice.
Observational (n=2,236)
No
Does a high Glasgow-Blatchford Score predict post-discharge gastrointestinal bleeding in hospitalized patients with heart failure?
Hazard Ratio: 2.258 (95% CI 1.326–3.845)
p-value: p=0.003
The Glasgow-Blatchford Score can effectively stratify the risk of post-discharge gastrointestinal bleeding in patients hospitalized for acute decompensated heart failure.
Hotsuki et al. (2020) conducted an observational in Acute decompensated heart failure (n=2,236). High Glasgow-Blatchford Score (>6) vs. Low Glasgow-Blatchford Score (≤6) was evaluated on Post-discharge gastrointestinal bleeding (HR 2.258, 95% CI 1.326-3.845, p=0.003). A high Glasgow-Blatchford Score (>6) was an independent predictor of post-discharge gastrointestinal bleeding in patients with heart failure (HR 2.258; 95% CI 1.326-3.845; p=0.003).
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