Practical use of blactchford score

Aim To retrospectively evaluate the use of proton pump inhibitor infusions Methods A retrospective chart review was conducted of all patients who received an mg bolus of esomeprazole follow by an infusion at mg hr An analysis was performed to determine if a Blatchford Score of gt was a predictor of upper gastrointestinal ulcers Results patients received high dose esomeprazole over a month period had an ulcer identified on endoscopy Gastritis and esophagitis were the second most common diagnosis accounting for of patients A Blatchford Score of gt as a predictor of upper gastrointestinal ulcers had a sensitivity of with a specificity of Conclusion Utilizing the Blatchford Score to predict patients that have an upper gastrointestinal ulcer does not appear to be effective in clinical practice