Sardiñas PR, Pérez AY, Guerra Leal OA

Language: Spanish
References: 14
Page: 1-8
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ABSTRACT

Introduction: Upper gastrointestinal hemorrhage is a common health problem worldwide and one of the emergencies determining a huge number of admissions into general surgery services in our scenario, it is therefore of great clinical and sanitary importance.
Objective: To determine the usefulness of the modified Rockall and Baylor scores in predicting rebleeding in patients with upper gastrointestinal hemorrhage.
Method: A prospective, descriptive, observational study was carried out, including patients admitted for upper gastrointestinal hemorrhage due to peptic ulcer in Enrique Cabrera, from January 1st, 2015 to September 30, 2015.
Results: Among the 300 patients admitted for upper digestive hemorrhage due to peptic ulcer, we took a sample of 71 patients. All patients were performed endoscopic treatment, while 8.4% were performed surgical treatment. Nine patients presented with rebleeding (12.7%). The modified Rockall and Baylor scores showed a specificity of 82% and 86%, respectively, with low sensitivity in both cases. Despite this, the Rockall score is the one with the highest sensitivity.
Conclusions: The two score were highly specific, but the Rockall score was more sensitive for identifying patients at high risk of rebleeding.

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