RESUMO
The rate of rebleeding of esophageal varices remains high after cessation of acute esophageal variceal hemorrhage. Rockall scoring system primarily developed for patients with non variceal source of bleeding
Objective: To determine the validity of Rockall scoring system in determining in-hospital re-bleeding among cirrhotic patients with acute esophageal/gastric variceal haemorrhage using endoscopy as gold standard. The study was conducted in Allied hospital and Liver Centre Allied/DHQ Hospitals, Faisalabad
Study Period: Study was carried out from 28-06-2010 to 27-12- 2010
Patients and Methods: Total 176 cases were include in this study. The subjects were scored using Rockall scoring system and placed under observation for re-bleed in 10 days
Results: The mean age of patients was 50.99 +/- 12.47 years. Out of 87 positive cases on Rockall score, 82 cases were true positive. Out of 89 cases, that were negative, 81 were true negative. Sensitivity, Specificity and diagnostic accuracy of Rockall score was found to be 91.1%, 94.1% and 92.6%, respectively. Positive predictive value [PPV] of Rockall score was 94.2% and negative predictive values [NPV] was 90.0%
Conclusion: The risk scoring system developed by Rockall and coworkers is a clinically useful scoring system among cirrhotic patients with acute esophageal/gastric variceal haemorrhage