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.
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
