Rockall score of the acute upper gastrointestinal bleeding patients the experience in Sudan

ABSTRACT

Innovation of scoring systems helps to rectify personal experience based on subjective evaluation of outcome of patient treatment. To predict the morbidity and mortality in patients presenting with acute upper gastrointestinal bleeding at Ibn-Sina Hospital using the Rockall score. Prospective hospital-based study conducted from June 2007 through December 2007 at the Ibn-Sina Hospital Bleeding Centre. Demographic, data of history and physical examination and results of laboratory investigations of 238 patients were collected and allotted a Rockall score, Child-Pugh class and fed to Statistical Package of Social Sciences [SPSS] to calculate means and find the levels of statistical differences and define the predicted and observed mortality rates. The mean [ +/- SD] age 44.6 [ +/- 15.31] range [8-85] years. There were 190 [79%] males. Patients with oesophageal varices, peptic ulcer, and upper GI tumours were 215 [90.3%], 18 [7.6%], and 5 [2.1%], respectively. The mean/predicted mortality was 3.8% while the actual observed mortality 3.8%. The mortality in cases of oesophageal varices was 8[3.4%], while that of bleeding peptic ulcers was one [0.4%]. Rockall score is feasible, accurate, effective system for predicting outcome in patients with upper GI bleeding. The risk factor for mortality are Rockall score>3, age>70 and rebleeding