Acute upper gastrointestinal bleeding (AUGIB) | Haematemesis, the passage of melaena and/or firm clinical or laboratory evidence of acute blood loss from the UGI tract within previous 10 days. |
Patients presenting with iron deficiency anaemia without evidence of acute UGI bleeding were not included. |
Haematemesis | Vomiting of blood or blood clots. Patients presenting with ‘coffee ground’ vomiting that was witnessed by medical or nursing staff were included. |
Melaena | The passage of dark tarry stools witnessed by medical or nursing staff or discovered on rectal examination. |
High risk stigmata | Red blood in the UGI tract, spurting or oozing, visible vessel, adherent clot for all diagnoses; red spot, wheal marking or nipple sign on varix/varices. |
Re-bleeding | Further haematemesis, passage of fresh melaena, continuing or recurring hypotension and tachycardia±fall in haemoglobin after the first endoscopy. |
All cause mortality | Death occurring within the hospital admission up to 30 days post index AUGIB |