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Applicability of the Rockall score in patients undergoing endoscopic therapy for upper gastrointestinal bleeding

2005; Elsevier BV; Volume: 38; Issue: 1 Linguagem: Inglês

10.1016/j.dld.2005.05.012

1878-3562

Xavier Bessa, E. O’Callaghan, Belen Ballesté, Mary Nieto, Agustín Seoane, A. Panadès, D. Vázquez, M. Andreu, Felipe Bory,

Gastrointestinal disorders and treatments

The Rockall score is used to assess the prognosis of patients with upper gastrointestinal bleeding.To assess the applicability of the Rockall score in patients undergoing endoscopic therapy for upper gastrointestinal bleeding.Retrospective evaluation of the Rockall score in the period 1995-2001. To evaluate the applicability of the Rockall system, two groups were created: group I (Rockall or=6 points).Two hundred and twenty-two patients were included. The median age of patients was 65 +/ -17 years. Hypotension and associated diseases were present in 20 and 50% of patients, respectively. Re-bleeding occurred in 50 patients (23%) whose median score was 7, whereas the median score of patients without re-bleeding was 6 (p=0.14). There were 20 deaths (9%) with a median score of 8, whilst the median score of surviving patients was 6 (p or=6 (15% versus 0% in groups II and I, respectively, p<0.001).The Rockall score can be used in patients who undergo therapeutic endoscopy for upper gastrointestinal bleeding to identify those with high risk for mortality.