EVALUATION OF UPPER GI BLEEDING BY THE ROCKALL SCORE

Aims Rockall score (RS) is a tool developed by an English team in 1996 to establish the prognosis of hemorrhagic recurrence in patients in order to allow an early return home. We illustrate through this work our experience with the application of this score in practice in patients with upper GI bleeding, evaluate rebreeding rate and its predictive factors.

Methods It's a descriptive and analytical prospective study conducted in our department, over a period of one year from July 2020 to November 2021, the evaluation of patients after the bleeding episode was done during hospitalization and remotely by phone calls.Data were collected then analyzed using SPSS for 20.0.

Results The study included 100 patients, mean RS was 4.48±1.56 . Hemorrhagic recurrence was seen in 37.6% of patients. Comparison between Group 1 (who did not recur) and group 2(who recurred) showed a superiority of the RS in group 2 which was 5.39±1.64 and 3.48±1.23 respectively with p<0.001. There was a correlation RS and re bleeding with r=0,6 p00,006. The predictive factors for hemorrhagic recurrence were the presence of signs of shock and the presence of endoscopic signs of recent bleeding with (OR=1.76 – IC 95%(1.048-3.679), p<0.001) and (OR=1.56 – CI95%(1.031-3.983), p=0.005) respectively.

Conclusions Recurrence bleeding is frequent according to our study, Rockall score is effective and correlated to recurrence and its application allows adequate selection of patients most at risk of rebleeding in order to give a tight follow-up for patients with a higher score.

Publication History

Article published online:
14 April 2022