ISSN: 1859 - 2872
Value of Rockall and Blatchford scale in evaluating prognosis of patients with gastrointestinal bleeding due to gastro-duodenal ulcers
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Abstract
Objective: To determine the value of Rockall and Blatchford scores in prognosis of patients with gastrointestinal bleeding from peptic ulcer disease. Subject and method: One hundred and fifty patients with obvious symptoms of upper gastrointestinal bleeding in the Gastroenterology Department of 108 Military Central Hospital were enrolled. Full Rockall scale and Blatchford score were calculated. We followed the patients for records of rebleeding and 1-month mortality. A receiver operating characteristic curve using areas under the curve (AUCs) was used to statistically identify the best cut-off point. Result: There were differences in the Blatchford score for digestive bleeding between Forrest I and II groups (p<0.05). The patients needed blood transfusion had higher clinical Rockall scale, complete Rockall and Blatchford score than those without transfusion (p<0.001). The full Rockall score was the most valuable in prognosis of mortality and recurrent bleeding, which were 0.825 and 0.733 respectively. The Blatchford scale had the best prognosis value for blood transfusion and surgery with corresponding scores of 0.888 and 0.868. Conclusion: The Rockall clinical and Blatchford score were significant in predicting the therapeutic efficacy and risk assessment of therapeutic interventions.
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References
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