Risk Stratification in Egyptian Patients with Upper Gastro Intestinal Bleeding

Abstract

Acute upper gastrointestinal bleeding (UGIB) is a common and life-threatening condition. It remains a common cause of visits to the emergency department with an estimated incidence of about 100 per 100000 hospitalizations and it is associated with significant morbidity, 30 day mortality and health-care costs. Urgent triage in emergency departments and risk stratification can help to identify patients who warrant urgent diagnostic and therapeutic procedures. Therefore, the aim of this study was to assess the correlation between Glasgow-Blatchford Bleeding Score, the AIMS65 score and Rockall score in Egyptian patients with upper gastrointestinal bleeding, to predict unfavourable prognosis, and to evaluate the best scoring system for risk stratification in these patients. Sixty patients presented with UGIB were included in this study. Glascow-Blatchford, complete Rockall, AIMS65 scoring systems were used for risk stratification. The study results showed that Rockall score had the highest diagnostic performance in the prediction of in –hospital deaths, there was statistically insignificant relation between Rockall score, GB score, AIMS65 score in the prediction for the need of blood transfusion. The results showed also significant positive correlation between the three studied scores.