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Oakland Score for Safe Discharge After Lower Gastrointestinal Bleeding

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Oakland Score for Safe Discharge After Lower Gastrointestinal Bleeding

  • See Also
  1. Lower Gastrointestinal Bleeding
  • Indications
  1. Disposition in Lower Gastrointestinal Bleeding
  • Criteria
  1. Age
    1. Score 0: Age<40 years
    2. Score 1: Age 40 to 69 years
    3. Score 2: Age >=70 years
  2. Gender
    1. Score 0: Female
    2. Score 1: Male
  3. Prior Lower Gastrointestinal Bleeding
    1. Score 0: No
    2. Score 1: Yes
  4. Digital Rectal Exam
    1. Score 0: No Blood
    2. Score 1: Blood
  5. Heart Rate
    1. Score 0: Heart Rate <70 beats/min
    2. Score 1: Heart Rate 70 to 89 beats/min
    3. Score 2: Heart Rate 90 to 109 beats/min
    4. Score 3: Heart Rate >110 beats/min
  6. Systolic Blood Pressure
    1. Score 0: Systolic Blood Pressure >=160 mmHg
    2. Score 2: Systolic Blood Pressure 130 to 159 mmHg
    3. Score 3: Systolic Blood Pressure 120 to 129 mmHg
    4. Score 4: Systolic Blood Pressure 90 to 119 mmHg
    5. Score 5: Systolic Blood Pressure 50 to 89 mmHg
  7. Hemoglobin
    1. Score 0: Hemoglobin >= 16.0 g/dl
    2. Score 4: Hemoglobin 13.0 to 15.9 g/dl
    3. Score 8: Hemoglobin 11.0 to 12.9 g/dl
    4. Score 13: Hemoglobin 9.0 to 10.9 g/dl
    5. Score 17: Hemoglobin 7.0 to 8.9 g/dl
    6. Score 22: Hemoglobin 3.6 to 6.9 g/dl
  • Interpretation
  1. Total Score <=8 is consistent with safe discharge and outpatient follow-up
  2. At Score of <=8, risk of serious short-term complication <=1 to 5%
    1. Rebleeding
    2. Blood Transfusion required
    3. Therapeutic intervention required
    4. Readmission within 28 days
    5. Death
  • Resources
  1. https://www.mdcalc.com/calc/10042/oakland-score-safe-discharge-lower-gi-bleed
  • References
  1. Oakland (2017) Lancet Gastroenterol Hepatol 2(9):635-43 +PMID: 28651935 [PubMed]