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Lower GI bleed is a common reason for ED visits. This study aimed to validate a scoring system to identify low-risk LGIB pts who could be safely discharged from the ED.
The SHA2PE score incorporates characteristics and data that are commonly collected on patients with this complaint; readers can click through to see the scoring system. A score of less than or equal to 1 helps identify patients suitable for outpatient management, with a NPV of 98.3% (95% CI [97.2-99.1]) for predicting the need for hospitalization and acute intervention. However, the findings should be interpreted with caution given the relatively low prevalence of interventions within the study population.
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References
Ahmad AI, El Sabagh A, Zhang J, et al. External Validation of SHA2PE Score: A Score to Predict Low-Risk Lower Gastrointestinal Bleeding in the Emergency Department. Gastroenterol Res Pract. 2025;2025:5657404. Published 2025 Jan 3. doi:10.1155/grp/5657404