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2010, Number 2

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Rev Hosp Jua Mex 2010; 77 (2)

Comparación de dos escalas pronósticas en hemorragia gastrointestinal superior no variceal

Manrique MA, Hernández VNN, Chávez GMÁ, Pérez VE, Pérez CT, Álvarez CR, Juárez VEI, García MAR, Díaz GDC, Bellacetín FÓ, Téllez OA, Santamaría AJR
Full text How to cite this article

Language: Spanish
References: 15
Page: 112-115
PDF size: 52.55 Kb.


Key words:

Upper gastrointestinal non variceal bleeding, Blatchford scale, Rockall scale.

ABSTRACT

Introduction. The optimal treatment of upper gastrointestinal bleeding improves the outcome and it carries low mortality, for that, the use of prognostic scales in Urgency Department is important to detect patients with high risk of complications. Objective. The aim of this study was to compare the efficacy of Blatchford and Rockall scales to predict the mortality and rebleeding risk. Materials and Methods. We analyzed all patients who underwent to upper gastrointestinal endoscopy with diagnostic of upper gastrointestinal bleeding from January 2006 to October 2009. We realized the statistical analysis with ʹ2. Results. We included 926 patients, 509 (55%) males and 417 (45%) females. The gastric and duodenal ulcers were the most important cause of bleeding (49%). Conclusions. The Blatchford scale is better to detect patients with a high risk of bleeding; however, we not found any difference between both scales for complicated patients.


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Rev Hosp Jua Mex. 2010;77