PREDICTIVE VALUE OF ROCKALL SCORE IN DETERMINING THE RE BLEEDING RATES IN PATIENTS WITH NON VARICEAL UPPER GASTROINTESTINAL BLEED - A PROSPECTIVE STUDY

Dr. Rajagopalan. G; Dr. Basil Mathew; Dr. S. Sabu Jeyasekharan; Dr. P. Gnana Nikays Judson

Volume : VI, Issue : IV, April - 2017

PREDICTIVE VALUE OF ROCKALL SCORE IN DETERMINING THE RE BLEEDING RATES IN PATIENTS WITH NON VARICEAL UPPER GASTROINTESTINAL BLEED - A PROSPECTIVE STUDY

Dr. Rajagopalan. G, Dr. Basil Mathew, Dr. S. Sabu Jeyasekharan, Dr. P. Gnana Nikays Judson

Abstract :

Background: Eighty two patients with acute non variceal upper gastrointestinal bleeding in a study period of 2 years was assessed with endoscopy and stratified according to the Rockall score in terms of high risk for Re bleeding. Aims and Objectives: To determine predictive value of Rockall Score in assessing the re bleeding rates of Non Variceal Upper Gastro-Intestinal Bleeding. Materials and methods: This was a prospective, longitudinal and analytical study of inpatients presenting with upper gastrointestinal bleed. Patients were categorized depending upon etiology and complete Rockall score. If the score was greater than or equal to 8, there was a high chance of Re bleeding. Results: Rockall score moderately predicted re bleeding (p value – 0.045, area under curve -0.885). The sensitivity, specificity and positive predictive value of Rockall score in determining re bleeding were 86%, 63% and 63% respectively. Conclusion: The present study concluded that Rockall score was a good, cheap and an applicable tool for segregating patients who were at high risk of re bleeding.