Stress hyperglycemia ratio predicts adverse outcomes in emergency department patients with upper gastrointestinal bleeding.

ABSTRACT:

Introduction

Upper gastrointestinal bleeding (UGIB) is a common emergency condition with substantial morbidity. Early identification of patients at risk for adverse outcomes is essential for timely management. The stress hyperglycemia ratio (SHR) adjusts admission glucose for baseline glycemic control and may better reflect acute physiological stress than absolute glucose levels. We aimed to determine whether SHR predicts critical outcomes in emergency department (ED) patients with UGIB.

Methods

We retrospectively analyzed 345 adults with endoscopically confirmed UGIB at a tertiary medical center. SHR was computed as admission glucose divided by estimated average glucose from hemoglobin A1c. Multivariable logistic regression assessed associations between SHR and outcomes: in

SUBMITTER: Ou HC 

PROVIDER: S-EPMC12829839 | biostudies-literature | 2026

REPOSITORIES: biostudies-literature