Guideline made during the course '5HI020 Standardisation within Health Informatics' of the Master's in Health informatics at Karolinska Institutet. Based on the simple risk score developed by Oakland K. et al., 2017.
Use to record the Oakland score in integer and percentage values and its interpretation, i.e. safe to discharge with appropriate precautions or admission with further workup and resuscitation as necessary.
Use in patients presenting with lower GI bleed (urgent, emergent, or primary care setting) to help determine if outpatient management is feasible. The Oakland score could be routinely incorporated into triage pathways for acute medical and surgical admissions to identify patients with lower gastrointestinal bleeding who can be safely discharged.
This is not intended to be used for clinical decision making about discharge regarding patients with other indications for hospital admission, e.g. upper gastrointestinal bleeding. It should not be used as an absolute scale for decision making, but rather as a clinical decision support indicator.
Oakland K, Jairath V, Uberoi R, Guy R, Ayaru L, Mortensen N et al. Derivation and validation of a novel risk score for safe discharge after acute lower gastrointestinal bleeding: a modelling study.Lancet Gastroenterol Hepatol. 2017;2:635–643 Cañamares P, Alfaro E, Lanas A. Safe hospital discharge based on lower GI bleeding scores: a long way to go. AME Medical Journal. 2017;2:147-147.
OBSERVATION.oakland_score_for_safe_discharge_after_lower_gi_bleed.v0, EVALUATION.oakland_score_for_safe_discharge_after_lower_gi_bleed.v0, OBSERVATION.pulse.v2, OBSERVATION.blood_pressure.v2