Rockall score of the acute upper gastrointestinal bleeding patients the experience in Sudan

Abstract EN

Introduction : Innovation of scoring systems helps to rectify personal experience based on subjective evaluation of outcome of patient treatment.

Objectives : To predict the morbidity and mortality in patients presenting with acute upper gastrointestinal bleeding at Ibn-Sina Hospital using the Rockall score.

Patients and methods : Prospective hospital-based study conducted from June 2007 through December 2007 at the Ibn-Sina Hospital Bleeding Centre.

Demographic, data of history and physical examination and results of laboratory investigations of 238 patients were collected and allotted a Rockall score, Child-Pugh class and fed to Statistical Package of Social Sciences (SPSS) to calculate means and find the levels of statistical differences and define the predicted and observed mortality rates.

Results: The mean ( ± SD) age 44.6 ( ± 15.31) range (8 - 85) years.

There were 190 (79 %) males.

Patients with oesophageal varices, peptic ulcer, and upper GI tumours were 215 (90.3 %), 18 (7.6 %) and 5 (2.1%) respectively.

The mean predicted mortality was 3.8% while the actual observed mortality 3.8 %.

The mortality in cases of oesophageal varices was 8(3.4 %), while that of bleeding peptic ulcers was one (0.4 %).

Conclusion : Rockall score is feasible, accurate, effective system for predicting outcome in patients with upper GI bleeding.

The risk factor for mortality are Rockall score > 3, age > 70 and rebleeding.