ACCURACY OF HIGH ROCKALL SCORING SYSTEM IN PREDICTING EARLY REBLEED IN CIRRHOTIC PATIENTS PRESENTING WITH VARICEAL BLEED

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Abstract

To determine the accuracy of high Rockall scoring system in predicting early rebleed in cirrhotic patients presenting
with variceal bleed. Acute upper GI bleeding is the most common emergency dealt with by Gastroenterologist. It has
an incidence ranging from approximately 50 to 150 per 100 000 of the population each year. Etiology of upper gastrointestinal
bleeding can be variceal or non-variceal.
Study design: Descriptive case series.
Duration: The duration of study was six months after approval of synopsis.
Settings: Department of Gastroenterology and Hepatology Hayatabad Medical Complex Peshawar.
Results: In this study mean age was 30 years with SD ± 1.26. fifty five percent patients were male and 45% patients
were female. Eighteen percent patients had Rockall score ranged from 0-3, 54% patients had Rockall score ranged
from 4-7, 28% patients had Rockall score more than 7. Thirty five percent patients had Portal vein pressure ranged from
12-14, 33% patients had Portal vein pressure ranged from 15-17,32% patients had Portal vein pressure more than 17.
Accuracy of High Rockall score among 140 patients was analyzed as 29% patients with high rockall score had early
re bleeding while 71% patients with low Rockall score didn’t had early re bleed.
Conclusion: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.

Authors: 
Jawad
Waheed ullah
Muhammad Daud
Imran Yahaya
Mouhammad Iltaf

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