Prospective Assessment of the Rockall Risk Scoring System in patients with Upper Gastrointestinal haemorrhage
AmrAbdalazeem Ismail Ali;
Abstract
Bleeding esophageal varices represent one of the most common causes of mortality among patients with chronic liver disease. The incidence of varices in cirrhotic patients is approximately 60-80%. The risk of bleeding may reach 25-35% of all cases within the first year of variceal detection. The mortality from each episode of variceal bleeding is 17-57%.
This study was conducted to evaluate the validity of the Rockall score for the prediction of rebleeding and death in patients with upper gastrointestinal bleeding.
To fulfill the aim of our study50 patients who underwent upper GI endoscopy in Ain Shams university hospitals and Theodor Bilharz Research Institute were included.
At the beginning all included patients were subjected to: (1) Designed Sheet: including full history taking and thorough clinical examination with special stress on symptoms and signs of GI hemorrhage, co-morbidity and relevant drug history. (2) Investigations including complete blood count, coagulation profile , liver function tests , kidney function tests and abdominal ultrasound, (3) blood transfusion requirements if needed , (4) Upper gastrointestinal endoscopy , (5) all patients were assessed by Rockall score .The initial Rockall score was calculated at the time of admission, Child-Pugh score was calculated after case note review for hepatic patients.The age of patients ranged from 29 - 80 years with a mean age of (56.92±11.54) years. Regarding sex distribution 39 (78%) were males and 11 (22%) were females. Variceal bleeding is the most important cause of upper gastrointestinal bleeding in Egypt due to high HCV related liver disease.
In the present work (50%) of the studied patients had esophageal varices related bleeding, followed by gastric varices related bleeding in nine patients (18%) and peptic ulcer related bleeding in eleven patients (22%).
Regarding the medical characteristics of the studied hepatic patients, (47.4%) were Child C and (36.8%) were Child B. Regarding encephalopathy, (20%) of those patients had encephalopathy episodes. Twenty-six patients (52%) had ascites.
Regarding Co-morbidity, (22%) of patients (eleven patients) suffering from co-morbidity conditions as IHD, CRF. Regarding shock, ten patients (20%) were shocked at time of
This study was conducted to evaluate the validity of the Rockall score for the prediction of rebleeding and death in patients with upper gastrointestinal bleeding.
To fulfill the aim of our study50 patients who underwent upper GI endoscopy in Ain Shams university hospitals and Theodor Bilharz Research Institute were included.
At the beginning all included patients were subjected to: (1) Designed Sheet: including full history taking and thorough clinical examination with special stress on symptoms and signs of GI hemorrhage, co-morbidity and relevant drug history. (2) Investigations including complete blood count, coagulation profile , liver function tests , kidney function tests and abdominal ultrasound, (3) blood transfusion requirements if needed , (4) Upper gastrointestinal endoscopy , (5) all patients were assessed by Rockall score .The initial Rockall score was calculated at the time of admission, Child-Pugh score was calculated after case note review for hepatic patients.The age of patients ranged from 29 - 80 years with a mean age of (56.92±11.54) years. Regarding sex distribution 39 (78%) were males and 11 (22%) were females. Variceal bleeding is the most important cause of upper gastrointestinal bleeding in Egypt due to high HCV related liver disease.
In the present work (50%) of the studied patients had esophageal varices related bleeding, followed by gastric varices related bleeding in nine patients (18%) and peptic ulcer related bleeding in eleven patients (22%).
Regarding the medical characteristics of the studied hepatic patients, (47.4%) were Child C and (36.8%) were Child B. Regarding encephalopathy, (20%) of those patients had encephalopathy episodes. Twenty-six patients (52%) had ascites.
Regarding Co-morbidity, (22%) of patients (eleven patients) suffering from co-morbidity conditions as IHD, CRF. Regarding shock, ten patients (20%) were shocked at time of
Other data
| Title | Prospective Assessment of the Rockall Risk Scoring System in patients with Upper Gastrointestinal haemorrhage | Other Titles | تقييم المحتملين لنظام التهديف روكال المخاطر في المرضى الذين يعانون من نزيف الجهاز الهضمي العلوي | Authors | AmrAbdalazeem Ismail Ali | Issue Date | 2015 |
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