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Systematic review: the presenting international normalised ratio (INR) as a predictor of outcome in patients with upper nonvariceal gastrointestinal bleeding.

Authors
  • Shingina, A
  • Barkun, A N
  • Razzaghi, A
  • Martel, M
  • Bardou, M
  • Gralnek, I
Type
Published Article
Journal
Alimentary Pharmacology & Therapeutics
Publisher
Wiley (Blackwell Publishing)
Publication Date
May 01, 2011
Volume
33
Issue
9
Pages
1010–1018
Identifiers
DOI: 10.1111/j.1365-2036.2011.04618.x
PMID: 21385193
Source
Medline
License
Unknown

Abstract

An elevated INR at initial presentation does not predict rebleeding in NVUGIB. A value 1.5 or greater, however, is associated with increased patient mortality after adjustment for validated prognosticators. The INR appears most useful as proxy of co-morbid burden at the time of initial assessment in NVUGIB.

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