{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T05:16:37Z","timestamp":1792818997221,"version":"4.5.0"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,2,4]],"date-time":"2021-02-04T00:00:00Z","timestamp":1612396800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Upper gastrointestinal bleeding (UGIB) is a common presentation to EDs. Limited Australian data are available. Study aims were to assess mortality and re\u2010bleeding rates in patients presenting with UGIB as risk\u2010stratified by the Glasgow Blatchford Score (GBS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective medical chart review of all patients presenting with UGIB to a Brisbane tertiary hospital ED over a 12\u2010month period. This descriptive study summarised the medical characteristics related to UGIB as risk\u2010stratified by the GBS. Non\u2010variceal bleeding was categorised as low\u2010risk (GBS 0\u20132) or high\u2010risk (GBS 3+). Variceal bleeding was not risk stratified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 211 patients presented with UGIB to the ED. The median age was 57\u2009years, 67% were male. Mortality rates at 30 days were: 0% for GBS 0\u20132, 3% (95% confidence interval [CI] 0\u20136) for GBS 3+ and 10% (95% CI 0\u201321) for variceal groups. The overall 30\u2010day re\u2010bleeding rate was 4.3% (95% CI 2\u20137). High\u2010risk patients accessed endoscopy according to international best practice of less than 24\u2009h (GBS 3+, 23.7\u00a0h; variceal bleeding, 7.3\u00a0h).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Mortality and re\u2010bleeding outcomes are similar to other international UGIB cohorts. Patients with a low\u2010risk bleed were appropriately identified and discharged home. Those at higher risk were correctly identified and accessed timely endoscopy. The GBS demonstrated clinical utility in an Australian ED cohort of UGIB bleeding patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.13737","type":"journal-article","created":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T02:10:02Z","timestamp":1612750202000},"page":"817-825","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Clinical utility of the Glasgow Blatchford Score in patients presenting to the emergency department with upper gastrointestinal bleeding: A retrospective cohort study"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8188-9977","authenticated-orcid":false,"given":"Kimberley","family":"Ryan","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Hepatology\/Emergency and Trauma Centre Royal Brisbane and Women's Hospital  Brisbane Queensland Australia"},{"name":"Faculty of Health, School of Nursing Queensland University of Technology  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Malacova","sequence":"additional","affiliation":[{"name":"Statistics Unit QIMR Berghofer Medical Research Institute  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Appleyard","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology\/Emergency and Trauma Centre Royal Brisbane and Women's Hospital  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony FT","family":"Brown","sequence":"additional","affiliation":[{"name":"Emergency and Trauma Centre Royal Brisbane and Women's Hospital  Brisbane Queensland Australia"},{"name":"Faculty of Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology\/Emergency and Trauma Centre Royal Brisbane and Women's Hospital  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Grimpen","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology\/Emergency and Trauma Centre Royal Brisbane and Women's Hospital  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,4]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-017-0425-6"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1258\/smj.2011.011117"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/2050640618811491"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2017.06.053"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-5994.2010.02357.x"},{"key":"e_1_2_9_7_1","first-page":"gutjnl\u20102019\u2010320","article-title":"ABC score: a new risk score that accurately predicts mortality in acute upper and lower gastrointestinal bleeding: an international multicentre study","author":"Laursen SB","year":"2020","journal-title":"Gut"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v24.i44.5025"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.13617"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2012.53.2.318"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2015-309262"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2018-316276"},{"key":"e_1_2_9_13_1","unstructured":"National Institute for Health and Care Excellence (UK).Acute upper gastrointestinal bleeding in over 16s: management. Clinical guideline [CG141].2012."},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i6432"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/102490791602300401"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1393172"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2009.02267.x"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02816-6"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.7861\/clinmedicine.18-2-118"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/flgastro-2017-100901"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2009.507"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-121665"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2008.01865.x"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1155\/2009\/604639"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2016.09.029"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2017.06.029"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2016.08.049"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwq433"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpg.2007.10.011"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.4103\/1319-3767.182452"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l536"}],"container-title":["Emergency Medicine Australasia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.13737","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1742-6723.13737","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.13737","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T22:47:09Z","timestamp":1693349229000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1742-6723.13737"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,4]]},"references-count":30,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1111\/1742-6723.13737"],"URL":"https:\/\/doi.org\/10.1111\/1742-6723.13737","archive":["Portico"],"relation":{},"ISSN":["1742-6731","1742-6723"],"issn-type":[{"value":"1742-6731","type":"print"},{"value":"1742-6723","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,4]]},"assertion":[{"value":"2020-11-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}