Use of predictive severity scoring for lower gastrointestinal bleeding in a high-volume unit

Introduction Lower gastrointestinal bleeding (LGIB) has an estimated annual incidence of 33textendash87/100 000 in the UK, accounting for 3BSG) recommend risk scoring for LGIB to categorise severity and plan management. Experience in a tertiary centre suggests this potentially overestimates the severity of bleeding and requirement for inpatient admission.Method Data were retrospectively collected for all patients referred from primary care or emergency departments with LGIB from 1 May 2020 to 1 April 2021. Demographics and Oakland score (OS), recommended in BSG guidelines, were collected. OS gt;8 suggests admission. Outcomes following referral, including admission, discharge, blood transfusion and radiological/surgical intervention, were assessed.Results 294 patients were assessed. 176 patients (59.9 were admitted for further management. The median OS for admitted patients was 12 (IQR 9textendash17). 30 patients (10.2 required blood transfusion, and three required radiological/surgical intervention (1. 118 (40.1 patients were discharged. The median OS was 10 (IQR 8textendash12). 80 patients discharged had a score gt;8, recommending admission; four patients required readmission (5.0; however, none required intervention. 38 patients were discharged with a score