Khalaf, A., AL Bayati, S. (2022). Acute Upper Gastrointestinal Bleeding Risk Stratification Using Complete Rockall Score. , 21(1), 89-95. doi: 10.52573/ipmj.1970.174076
Abbas Faraj Khalaf; Sabiha AL Bayati. "Acute Upper Gastrointestinal Bleeding Risk Stratification Using Complete Rockall Score". , 21, 1, 2022, 89-95. doi: 10.52573/ipmj.1970.174076
Khalaf, A., AL Bayati, S. (2022). 'Acute Upper Gastrointestinal Bleeding Risk Stratification Using Complete Rockall Score', , 21(1), pp. 89-95. doi: 10.52573/ipmj.1970.174076
Khalaf, A., AL Bayati, S. Acute Upper Gastrointestinal Bleeding Risk Stratification Using Complete Rockall Score. , 2022; 21(1): 89-95. doi: 10.52573/ipmj.1970.174076

Acute Upper Gastrointestinal Bleeding Risk Stratification Using Complete Rockall Score

Iraqi Postgraduate Medical Journal
Article 13, Volume 21, Issue 1, 2022, Pages 89-95    PDF (277.83 K)
Document Type: Research Paper
DOI: 10.52573/ipmj.1970.174076
Authors
Abbas Faraj Khalaf1; Sabiha AL Bayati2
1Internal Medicine Specialist Al Karama Teaching Hospital in Kut City.Wasit, Iraq
2AL-Mustansyria College of Medicine. Baghdad, Iraq
Abstract
BACKGROUND:
Complete Rockall risk score uses clinical criteria and endoscopy to identify patients at risk of adverse outcomes after acute upper gastrointestinal haemorrhage.
AIM:
To Identify patients at risk of adverse outcome following acute upper gastrointestinal bleeding.
METHODS:
An observational descriptive hospital-based study conducted on about 65 patients with acute upper gastrointestinal bleeding.  Data from history, physical examination and oesophagogastroduodenoscopy were collected and entered into a Complete Rockall score.
RESULTS:
65 cases were identified (43 men and 22 women; mean age 50.1 years). Patients considered to be at low risk of adverse outcomes were 25(38%), while patients considered to be at high risk of adverse outcome were 40(62%).
CONCLUSIONS: 
The majority of the patients who were admitted to hospital with upper gastrointestinal bleeding are of high risk group and of male gender. 
 
 
Keywords
Complete Rockall score; upper gastrointestinal bleeding; OGD
References
  1. Camellini L, Merighi A, Pagnini C, Azzolini F, Guazzetti S, Scarcelli A, et al. Comparison of three different risk scoring systems in nonvariceal upper gastrointestinal bleeding. Dig Liver Dis. 2004; 36:271–77. 
  2. Köksal Ö, Özeren G, Özdemir F, Armağan E, Aydın Ş, Ayyıldız T. Prospective validation of the Glasgow Blatchford scoring system in patients with upper gastrointestinal bleeding in the emergency department. Turk J Gastroenterol. 2012; 23:448–55.
  3. Göksu E, Erken O, Erçetin Y, Kılıçaslan I, Çete Y. Factors effecting mortality and demographic properties of patients presenting to the Emergency Department of Akdeniz University Hospital with upper gastrointestinal bleeding. Turk J Emerg Med. 2004; 4:121–26.
  4. Laine L, Peterson WL. Bleeding peptic ulcer. N Engl J Med 1994; 331: 717-27 [PMID: 8058080 DOI: 10.1056/NEJM1994 09153311107]
  5. LEE GOLDMAN, MD, ANDREW I. SCHAFER, MD. GOLDMAN’S CECIL MEDICINE, 24th ed. New York: Elsevier Inc.; 2012;137:858.
  6. Murtadha RAl-Tai‟i A. Acute Upper Gastro-Intestinal Bleeding; Its Etiology and Management in Karbala: An Epidemiological study. Karbala Journal of Pharmaceutical Sciences. 2012; 4:16.
  7. Lim JK, Ahmed A. Endoscopic approach to the treatment of gastrointestinal bleeding. Tech Vasc Interv Rad. 2004; 7:123–29.
  8. Blatchford O, Murray WR, Blatchford M. A risk score to predict need for treatment for upper gastrointestinal haemorrhage. Lancet. 2000; 356:1318–21.
  9. Ludikhuize J, Smorenburg SM, Rooij SE, Jonge E. Identification of deteriorating patients on general wards; measurement of vital parameters and potential effectiveness of the Modified Early Warning Score. J Crit Care. 2012;27: 424. e7-13.
10. Barkun AN, Bardou M, Kulpers EJ, et al. International consensus recommendations on the management of patients with nonvariceal upper gastrointestinal bleeding. Ann Intern Med. 2010;152 :101– 113.

11. Rockall TA, Logan RFA, Devlin HB, et al. Risk assessment after acute upper gastrointestinal haemorrhage. Gut. 1996;38:316–21.

12. Chun CL, Conti CA, Triadafilopoulos G: Cameron ulcers: you will find only what you seek. Dig Dis Sci, 2011; 56: 3450–52.

13. Rockall TA, Logan RFA, Devlin HB, et al. Risk assessment after acute upper gastrointestinal haemorrhage. Gut 1996; 38:316–21.

14. Vreeburg E, Terwee C, Snel P, Rauws E, Bartelsman J, Meulen J et al. Validation of the Rockall risk scoring system in upper gastrointestinal bleeding. Gut. 1999;44:331-35.

15. Dewan, Kush & Patowary, Bhanumati & Bhattarai, Subash & Shrestha, Gaurav. (2018). Complete Rockall Score in Predicting Outcomes in Acute Upper Gastrointestinal Bleeding. Journal of College of Medical Sciences-Nepal. 14. 178-183. 10.3126/jcmsn.v14i4.22031.

16. Chan JCH, Ayaru L. Analysis of risk scoring for the outpatient management of acute upper gastrointestinal bleeding. Frontline Gastroenterol. 2011;2:19–25.

17. Yang HM e. Comparison of scoring systems for nonvariceal upper gastrointestinal bleeding:                   a multicenter prospective cohort study.  - PubMed - NCBI [Internet]. Ncbi.nlm.nih.gov.

18. Gralnek IM, Dulai GS. Incremental value of upper endoscopy for triage of patients with acute non-variceal upper GI haemorrhage. Gastrointest Endosc 2004;60:9–14.

 

 

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