MDCalc

Oakland Score for Safe Discharge After Lower GI Bleed

Readmission and adverse event risk in patients with acute lower GI bleeding.

Use in patients presenting with lower GI bleed (urgent, emergent, or primary care setting) to help determine if outpatient management is feasible.

Age, years
Sex
Previous lower GI bleeding admission
DRE findings
Heart rate, bpm
Systolic blood pressure, mmHg
Hemoglobin, g/L (g/dL)

Result:

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Management
  • The original score was created and validated using a cutoff of ≤8.
  • Scores >8 identify high-risk patients who may need hospital admission. 
  • Clinical judgment should always be utilized when determining disposition planning for patients with suspected lower GI bleed.