STRATIFICATION OF THE RISK OF ADVERSE OUTCOME IN PATIENTS WITH UPPER GASTROINTESTINAL BLEEDING

Abstract

The present review of current literature provides data on the prevalence of acute gastroduodenal bleeding throughout the world, the level and causes of mortality. The incidence remains stable, and mortality, despite the achievements of therapeutic endoscopy, has no tendency to decrease. In modern clinical guidelines developed by professional communities, it is recommended to stratify the risk of adverse outcomes in all patients with AGDB at the admission department stage. Selecting patients with a high risk of recurrence of bleeding or death, appropriate therapeutic measures can be taken in a timely manner and better treatment outcomes can be achieved. The review includes the most cited and current forecast systems. It presents a comparison of the effectiveness of various scales, possible limitations of their use. The authors conclude that risk stratification is one of the possible tools to reduce mortality. According to the authors, the forecast system should have a high sensitivity and specificity, be as simple as possible to use, and include evaluation criteria available to the doctor on duty.