Yet another upper GI haemorrhage score…or essential risk stratification

This issues editor's choice has been carefully chosen in an admittedly, already heavily populated field. However, the profusion of past studies is a reflection of the lack of firm conclusions to have emerged. For those of us who are interventional endoscopists there is a critical need to develop a scoring system to help identify the patients who would benefit from early endoscopy, compared to those who can have a delayed procedure. In increasingly pressured healthcare systems, this question is clinically vital as well as having service planning implications. Irwin et al have tried to address this issue since none of the current scoring systems have been universally adopted, because they are either too complicated or don't answer this critical question. …