What is already known about this subject
Models for predicting the risk of upper GI bleeding in overall nonsteroidal anti-inflammatory drug (NSAID) users have been developed. However, specific risk stratification schemes to quantify the risk factors for GI complications in elderly NSAID users have seldom been evaluated even though old age is a major risk factor for GI complications in NSAID users.
Most geriatric focused criteria recommend the concomitant use of a gastroprotective agent (GPA) with NSAID. However, GPA use in the elderly might not eliminate the risk of serious GI complications in high-risk situations.