Armenteros TMC, Palomino BAB, Mora GS, Valladares RD, Blanco AM

Language: Spanish
References: 15
Page: 176-184
PDF size: 139.44 Kb.

ABSTRACT

Introduction: the use of prognostic systems is necessary for the proper management of those at high risk of bleeding again.
Objective: to evaluate the ability of the Rockall index for predicting the risk of rebleeding and mortality in patients with upper gastrointestinal bleeding episode of non-variceal origin.
Methods: a longitudinal, descriptive, prospective study was conducted in 89 patients who arrived with clinical evidence of upper gastrointestinal bleeding at ER of "Dr. Carlos J. Finlay" Central Military Hospital from December 2011 to June 2012. They underwent an endoscopy within 24 h after admission. Demographic parameters (age, gender) and endoscopic (findings, therapeutic) were evaluated. Rockall index was applied and patients were followed up 72 h after admission. COR curve Analysis was performed.
Results: there was a predominance of males (64/89, 71.91 %); the average age was 63.58 years. 26 % of cases (n= 23) had a higher rate of Rockall, with a predictive capacity for mortality (area under the ROC curve = 0.875) and rebleeding (area under the ROC curve = 0.757, p= 0.020).
Conclusions: Rockall index utility is confirmed to identify patients at high risk of death and reindent, which can be used for the management of patients with nonvariceal gastrointestinal bleeding.

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