Guideline decision tool · Critical Care
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Stress Ulcer Prophylaxis Indication (SUP) — free guideline decision tool

Stress-ulcer prophylaxis decision aid, weighing GI-bleeding risk factors against the risks of acid suppression in the ICU.

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Computed locally — no data uploaded. For licensed clinicians.
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Guideline-based

Implements the decision logic from published clinical guidelines.

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Runs in your browser

No installation. Enter the patient's values and get a guideline recommendation instantly.

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Data stays local

Nothing is uploaded. Results are for licensed clinicians only.

Common questions

What does Stress Ulcer Prophylaxis Indication (SUP) do?

Use to decide whether to give pharmacologic stress-ulcer prophylaxis based on the presence of major risk factors.

How is the result calculated?

Prophylaxis indicated with a major risk factor (mechanical ventilation > 48 h, coagulopathy) or multiple minor factors; otherwise withhold given the risk of pneumonia/C. difficile from acid suppression. Prefer PPI or H2RA.

Is this a substitute for clinical judgement?

No. All results are decision-support only, for licensed clinicians. They must be individualized to the whole patient and the latest guideline version.

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Run Stress Ulcer Prophylaxis Indication (SUP) now

Stress-ulcer prophylaxis decision aid, weighing GI-bleeding risk factors against the risks of acid suppression in the ICU.

Open guideline tool →

For licensed clinicians. Not a substitute for clinical judgement.

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Related guideline tools

For use by licensed clinicians and clinical researchers. Computed locally in your browser — no data is uploaded. Not a substitute for clinical judgement.