Forrest Classification of Upper GI Bleeding stratifies severity of upper GI bleeding according to endoscopic findings.
Helps prognosticate and risk stratify patients based on stigmata of recent hemorrhage and decide on discharge versus close inpatient monitoring. Provides gastroenterologists a system to uniformly and simply classify and describe peptic ulcers.
Class: Description: Rebleeding rate: Mortality: Class 1A Active spurting 55% 11% Class 1B Active oozing 55% 11% Class 2A Non-bleeding visible vessel 43% 11% Class 2B Adherent clot 22% 7% Class 2C Flat pigmented spot 10% 3% Class 3 Clean ulcer base 5% 2%
1. Forrest JA, Finlayson ND, Shearman DJ. Endoscopy in gastrointestinal bleeding. Lancet. 1974 Aug 17;2(7877):394-7.
openEHR-EHR-EVALUATION.forrest_classification_upper_gi_bleeding